Provider Demographics
NPI:1194868836
Name:VIOLANTE, MARIO JOSEPH III (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIO
Middle Name:JOSEPH
Last Name:VIOLANTE
Suffix:III
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1 COLOMBA DR
Mailing Address - Street 2:SUITE #6
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-1205
Mailing Address - Country:US
Mailing Address - Phone:716-297-6453
Mailing Address - Fax:716-297-6487
Practice Address - Street 1:1 COLOMBA DR
Practice Address - Street 2:SUITE #6
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-1205
Practice Address - Country:US
Practice Address - Phone:716-297-6453
Practice Address - Fax:716-297-6487
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY048498-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice