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Organization

KOLB & KOLB DDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILLIP W KOLB DDS (PARTNER)
(812) 897-3470
Entity
Organization

Contact information

Practice address
602 W LOCUST ST, BOONVILLE, IN 47601-0167
(812) 897-3470
(812) 897-0068
Mailing address
PO BOX 167, 602 W LOCUST ST, BOONVILLE, IN 47601-0167
(812) 897-3470
(812) 897-0068

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/11/2006
Last updated
08/22/2020
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