Individual
MICHAEL A. COLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3901 OUTLOOK BLVD, PUEBLO, CO 81008-1698
(719) 543-0000
(719) 543-4330
Mailing address
3901 OUTLOOK BLVD, PUEBLO, CO 81008-1698
(719) 543-0000
(719) 543-4330
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
820
CO
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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