Individual
DR. PHILLIP W KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
602 W LOCUST ST, BOONVILLE, IN 47601-0167
(812) 897-3470
(812) 897-0068
Mailing address
PO BOX 167, 602 W LOCUST ST, BOONVILLE, IN 47601-0167
(812) 897-3470
(812) 897-0068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006066
IN
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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