Individual
MICHAEL LAWRENCE COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10182 LANCASTER LN N, MAPLE GROVE, MN 55369-3562
(763) 424-4544
(763) 424-2269
Mailing address
10182 LANCASTER LN N, MAPLE GROVE, MN 55369-3562
(763) 424-4544
(763) 424-2269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8632
MN
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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