GRANT KOLLENBORN

NEW ORLEANS, LA
NPI1548678758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  6488)
Enumeration Date2014-07-31
Last Update Date2014-07-31
Business Address
-- GRANT KOLLENBORN
5742 BANCROFT DR
NEW ORLEANS, LA 70122-1314
Phone number: 504-264-2151
Mailing Address
-- GRANT KOLLENBORN
5742 BANCROFT DR
NEW ORLEANS, LA 70122-1314
Phone number: 504-264-2151
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