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Individual

DR. JOHN ANDREW COLGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1000 37TH PL, SUITE 103, VERO BEACH, FL 32960-6579
(772) 770-9191
(772) 770-4161
Mailing address
P. O. BOX 162906, MIAMI, FL 33116-2906
(772) 770-9191
(772) 770-4161

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN14175
FL

Other

Enumeration date
01/02/2007
Last updated
01/15/2013
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