Kirk Colbert

NPI #1174657621 in Cheyenne, Wyoming

Provider Information

NPI Number
1174657621
Entity Type
Individual
Name
Kirk Colbert
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1331 PRAIRIE AVE STE 4
State
Wyoming
ZIP Code
82009-4867
Phone
(307) 632-6512

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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