Individual
COLBY INBODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2386 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2800
(479) 442-8500
Mailing address
1645 N RHONDA DR, FAYETTEVILLE, AR 72703-2042
(870) 219-5818
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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