Individual
JOSE LUIS COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13646 EARNSHAW AVE, DOWNEY, CA 90242-5127
(562) 634-8382
Mailing address
13646 EARNSHAW AVE, DOWNEY, CA 90242
(562) 634-8382
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
46079
CA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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