Individual
DR. LOLA COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4353 ATLANTA HWY, LOGANVILLE, GA 30052-3214
(770) 450-2030
Mailing address
1173 GRASSMEADE WAY, SNELLVILLE, GA 30078-7797
(718) 930-3684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012997
GA
1223G0001X
General Practice Dentistry
051535
NY
Other
Enumeration date
02/27/2007
Last updated
02/15/2022
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