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Individual

ROLAND FRANKLIN COLOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
907 MILITARY RD, COLUMBUS, MS 39701
(662) 328-1252
(662) 329-3165
Mailing address
907 MILITARY RD, COLUMBUS, MS 39701
(662) 328-1252
(662) 329-3165

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1883 80
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00064765
MS
Enumeration date
05/16/2007
Last updated
07/08/2007
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