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Individual

DR. ROBERT A. COLANTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
997 CLOCK TOWER DR, SUITE C, SPRINGFIELD, IL 62704-1301
(217) 546-3371
(217) 793-5107
Mailing address
997 CLOCK TOWER DR, SUITE C, SPRINGFIELD, IL 62704-1301
(217) 546-3371
(217) 793-5107

Taxonomy

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

Other

Enumeration date
08/31/2005
Last updated
08/01/2007
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