Individual
FLORENCE KOLOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E HARBORTOWN DR APT 608, DETROIT, MI 48207-5010
(571) 492-1083
Mailing address
250 E HARBORTOWN DR APT 608, DETROIT, MI 48207-5010
(571) 492-1083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33327
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2016
Last updated
05/16/2018
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