GRANT KOLLENBORN

JACKSON, WY
NPI1548678758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  6488)
Enumeration Date2014-07-31
Last Update Date2026-08-07
Business Address
-- GRANT KOLLENBORN
1315 US-89, SUITE 102
JACKSON, WY 83001
Phone number: 307-733-4122
Mailing Address
-- GRANT KOLLENBORN
PO BOX 8888
JACKSON, WY 83002-8888
Phone number: 307-690-7377
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