Organization
BRUCE H. COLLIGNON D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE H. COLLIGNON D.D.S. (PRESIDENT)
(636) 671-0102
Entity
Organization
Contact information
Practice address
7214 EXECUTIVE PKWY, HOUSE SPRINGS, MO 63051-2981
(636) 671-0102
(636) 671-1575
Mailing address
7214 EXECUTIVE PKWY, HOUSE SPRINGS, MO 63051-2981
(636) 671-0102
(636) 671-1575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012256
MO
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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