Wallace Colvin PC
NPI #1952853103 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1952853103
- Entity Type
- Organization
- Organization Name
- Wallace Colvin PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 3, 2016
- Last Updated
- Nov 3, 2016
Practice Location
- Address
- 69 SOUTHBOUND GRATIOT AVE LOWR
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-7600
- Phone
- (586) 783-7000
Authorized Official
- Name
- DR. WALLACE S COLVIN, DDS
- Title
- DENTIST
- Phone
- (586) 783-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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