Individual
DR. KATELYNN COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 N CANAL BLVD, THIBODAUX, LA 70301-8076
(985) 447-4783
Mailing address
721 PARK RIDGE DR, RIVER RIDGE, LA 70123-1182
(504) 491-8575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6688
LA
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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