Organization
COLBURN DDS PC TT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY COLBURN DDS (OWNER /PRESIDENT)
(231) 739-8047
Entity
Organization
Contact information
Practice address
3535 PARK ST STE 100, NORTON SHORES, MI 49444-3736
(231) 739-8047
Mailing address
3535 PARK ST STE 100, NORTON SHORES, MI 49444-3736
(231) 739-8047
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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