Organization
J.L. COLON, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH L COLON D.D.S. (PRESIDENT)
(586) 773-9660
Entity
Organization
Contact information
Practice address
20805 E 12 MILE RD, SUITE 100, ROSEVILLE, MI 48066-6502
(586) 773-9660
Mailing address
20805 E 12 MILE RD, SUITE 100, ROSEVILLE, MI 48066-6502
(586) 773-9660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019419
MI
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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