Colasurdodmd LLC

NPI #1275259418 in Portland, Oregon

Provider Information

NPI Number: 1275259418
Entity Type: Organization
Organization Name: Colasurdodmd LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 19, 2022
Last Updated: Oct 19, 2022

Practice Location

Address: 833 SW 11TH AVE STE 723
City: Portland
State: Oregon
ZIP Code: 97205-2121
Phone: (503) 223-7661

Authorized Official

Name: DR. VINCENT COLASURDO, DMD
Title: DENTIST
Phone: (503) 680-2972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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