| J.l. Colon, Dds, Pllc | |
|
20805 E 12 Mile Rd Suite 100 Roseville MI 48066-6502 | |
| (586) 773-9660 | |
| Not Available |
| Full Name | J.l. Colon, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20805 E 12 Mile Rd, Roseville, Michigan |
| Authorized Official Name and Position | Joseph L Colon (PRESIDENT) |
| Authorized Official Contact | 5867739660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.l. Colon, Dds, Pllc 20805 E 12 Mile Rd Suite 100 Roseville MI 48066-6502 Ph: (586) 773-9660 | J.l. Colon, Dds, Pllc 20805 E 12 Mile Rd Suite 100 Roseville MI 48066-6502 Ph: (586) 773-9660 |
| NPI Number | 1932450483 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 09/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932450483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901019419 (Michigan) | Primary |
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