JUSTIN COLGAN

PADUCAH, KY
NPI1578911087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: KY  10050)
Additional Taxonomies122300000X Dentist
(Licence: KY  10050)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-25
Last Update Date2018-03-30
Business Address
Dr. JUSTIN COLGAN DMD
2850 LONE OAK RD STE 1
PADUCAH, KY 42003-8043
Phone number: 270-554-3131
Mailing Address
Dr. JUSTIN COLGAN DMD
2850 LONE OAK RD STE 1
PADUCAH, KY 42003-8043
Phone number: 270-556-0189