Individual
KIRK COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1331 PRAIRIE AVE STE 4, CHEYENNE, WY 82009-4867
(307) 632-6512
Mailing address
1331 PRAIRIE AVE STE 4, CHEYENNE, WY 82009-4867
(307) 632-6512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WYO 760
WY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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