Individual
DR. MATTHEW S. KOLKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13307 WITMER RD, GRABILL, IN 46741-9636
(260) 627-1121
Mailing address
10321 GARMAN RD, LEO, IN 46765-9798
(260) 241-4031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011830A
IN
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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