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Organization
DR. KENNETH COLBERT DDS INC
Active
Organization
DR. KENNETH COLBERT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH COLBERT (PRESIDENT)
(573) 775-2636
Entity
Organization
Contact information
Practice address
PO BOX AQ, 204 W MAIN ST, STEELVILLE, MO 65565-0609
(573) 775-2636
Mailing address
PO BOX AQ, 204 W. MAIN ST, STEELVILLE, MO 65565-0609
(573) 775-2636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
013305
MO
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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