DR. Wallace Spurgeon Colvin III, D.D.S.
NPI #1730247222 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1730247222
- Entity Type
- Individual
- Name
- DR. Wallace Spurgeon Colvin III, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 69 SOUTHBOUND GRATIOT AVE
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-5545
- Phone
- (586) 783-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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