Organization
COL-DENT LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC A COLARUSSO JR. DDS (PRESIDENT)
(716) 372-8017
Entity
Organization
Contact information
Practice address
4031 LEGION DR, HAMBURG, NY 14075-4507
(716) 646-6800
(716) 312-0036
Mailing address
4031 LEGION DR, HAMBURG, NY 14075-4507
(716) 646-6800
(716) 312-0036
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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