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NPI Code Detail

MEDICARE: COLETTE CATALINO DMD

MEDICARE: COLETTE CATALINO DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist20202MA
21223G0001XGeneral Practice Dentistry53680CA

General Provider Information

NPI Number : 1144207135
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLETTE CATALINO DMD
Provider Business Mailing Address
First Line : 31882 CAMINO CAPISTRANO
Second Line : SUITE 260
City : SAN JUAN CAPISTRANO
State : CA
Zip : 92675-3222
Country : US
Telephone Number : 949-493-7007
Fax Number : 949-218-3904
Provider Business Practice Location Address
First Line : 495 WESTERN AVE
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-1007
Country : US
Telephone Number : 617-783-1680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 09/19/2023

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Directions to “ COLETTE CATALINO DMD” Practice Location

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