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1780874016
DEMETRIOS LOUIS CONSOLO
CANANDAIGUA, NY
NPI
1780874016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
Mr. DEMETRIOS LOUIS CONSOLO
400 FORT HILL AVE DENTAL DEPT
CANANDAIGUA, NY 14424-1159
Phone number: 585-393-7172
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Mailing Address
Mr. DEMETRIOS LOUIS CONSOLO
1720 WATERFORD RD
WALWORTH, NY 14568-9424
Phone number: 909-434-5129
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