| NPI | 1336803600 |
|---|---|
| Former Legal Business Name | PETER P COLOSIMO, DDS, SC |
| Entity Type | Organization |
| Authorized Contact | PETER JAMES COLOSIMO Owner Member Dentist 414-526-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2021-10-23 |