NPI 1780874016
Demetrios Louis Consolo
Practice location
- Address
- 400 Fort Hill Ave Dental Dept, Canandaigua, NY 14424-1159
- Phone
- (585) 393-7172
- Mailing address
- 1720 Waterford Rd, Walworth, NY 14568-9424
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1780874016
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Aug 2007
- Record last updated
- 1 Aug 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.