Individual
BRENT ALAN KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8031 MAIN STREET, SUITE 303, DEXTER, MI 48130-1150
(734) 426-9000
(734) 426-8845
Mailing address
1695 NORTHBROOK DR, ANN ARBOR, MI 48103-6194
(734) 426-9000
(734) 426-8845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018784
MI
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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