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Individual

DR. DAGMAR E COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
3012 N 1ST AVE, EVANSVILLE, IN 47710-3167
(812) 483-8858
Mailing address
3012 N 1ST AVE, EVANSVILLE, IN 47710-3167
(812) 483-8858

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009554
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100246960A
IN
Enumeration date
08/28/2006
Last updated
10/29/2014
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