MR. Demetrios Louis Consolo

NPI #1780874016 in Canandaigua, New York

Provider Information

NPI Number: 1780874016
Entity Type: Individual
Name: MR. Demetrios Louis Consolo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Assistant
Enumeration Date: Aug 1, 2007
Last Updated: Aug 1, 2007

Practice Location

Address: 400 FORT HILL AVE
Address 2: DENTAL DEPT
City: Canandaigua
State: New York
ZIP Code: 14424-1159
Phone: (585) 393-7172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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