| Ryan P Colosi Dds | |
|
534 Nautical Dr. Clover SC 29710-6102 | |
| (803) 619-5155 | |
| Not Available |
| Full Name | Ryan P Colosi Dds |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 534 Nautical Dr., Clover, South Carolina |
| Authorized Official Name and Position | Ryan Peter Colosi (MEMBER) |
| Authorized Official Contact | 8036195155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan P Colosi Dds 534 Nautical Dr Lake Wylie SC 29710-5001 Ph: (803) 619-5155 | Ryan P Colosi Dds 534 Nautical Dr. Clover SC 29710-6102 Ph: (803) 619-5155 |
| NPI Number | 1528428091 |
|---|---|
| Provider Enumeration Date | 02/26/2016 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528428091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8097 (South Carolina) | Primary |
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