Organization
FAMILY DENTISTRY OF ST. CLOUD, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN COLBURN D.D.S. (MGRM)
(407) 892-3326
Entity
Organization
Contact information
Practice address
1300 13TH ST, SUITE B, SAINT CLOUD, FL 34769-4317
(407) 892-3326
(407) 892-4354
Mailing address
1300 13TH ST, SUITE B, SAINT CLOUD, FL 34769-4317
(407) 892-3326
(407) 892-4354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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