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Individual

DR. ROBERT FRAZIER COLWELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
712 FORT CROOK RD N, BELLEVUE, NE 68005-4558
(402) 733-6066
(402) 733-0899
Mailing address
712 FORT CROOK RD N, BELLEVUE, NE 68005-4558
(402) 733-6066
(402) 733-0899

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6236
NE
122300000X
Dentist
8073
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025204800
NE
05
15558428003
IA
Enumeration date
09/27/2006
Last updated
01/23/2012
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