Individual
DR. BRUCE H COLLIGNON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7214 EXECUTIVE PKWY, HOUSE SPRINGS, MO 63051-2981
(636) 671-0102
(636) 671-1575
Mailing address
7214 EXECUTIVE PKWY, HOUSE SPRINGS, MO 63051-2981
(636) 671-0102
(636) 671-1575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12256
MO
Other
Enumeration date
09/28/2005
Last updated
07/08/2007
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