Individual
DR. ZACHARY SCOTT COLCLASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
470 BENNETT DR STE A, WARREN, IN 46792-9273
(260) 375-2626
Mailing address
470 BENNETT DR STE A, WARREN, IN 46792-9273
(260) 375-2626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012512A
IN
Other
Enumeration date
06/05/2016
Last updated
06/05/2016
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