Individual
MR. STEPHEN WILLIAM COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1903 S 6TH ST, BRAINERD, MN 56401
(218) 838-2650
(218) 825-8989
Mailing address
1903 S 6TH ST, BRAINERD, MN 56401
(218) 838-2650
(218) 825-8989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10906
MN
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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