Individual
EARL DAYTON MCCOLM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
602 LIBERTY STREET, OSKALOOSA, KS 66066-0368
(785) 863-2208
(785) 863-2967
Mailing address
602 LIBERTY STREET, PO BOX 368, OSKALOOSA, KS 66066-0368
(785) 863-2208
(785) 863-2967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
015322
MO
1223G0001X
General Practice Dentistry
07068
OR
1223G0001X
General Practice Dentistry
Primary
6787
KS
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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