| Mario J. Violante Dds Pllc | |
|
1 Colomba Dr Suite #6 Niagara Falls NY 14305-1205 | |
| (716) 297-6453 | |
| (716) 297-6487 |
| Full Name | Mario J. Violante Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Colomba Dr, Niagara Falls, New York |
| Authorized Official Name and Position | Mario Joseph Violante (OWNER) |
| Authorized Official Contact | 7162976453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mario J. Violante Dds Pllc 1 Colomba Dr Suite #6 Niagara Falls NY 14305-1205 Ph: (716) 297-6453 | Mario J. Violante Dds Pllc 1 Colomba Dr Suite #6 Niagara Falls NY 14305-1205 Ph: (716) 297-6453 |
| NPI Number | 1639470701 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639470701 | NPI | - | NPPES |
| 1194868836 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 048498 (New York) | Primary |
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