| NPI | 1275259418 |
|---|---|
| Doing Business As | VINCENT COLASURDO |
| Entity Type | Organization |
| Authorized Contact | VINCENT COLASURDO Dentist 503-680-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |