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1902016868
MICHAEL LAWRENCE COLLERAN
SAN LUIS OBISPO, CA
NPI
1902016868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 43925)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL LAWRENCE COLLERAN DDS
1250 PEACH ST SUITE E
SAN LUIS OBISPO, CA 93401-2837
Phone number: 805-546-0814
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Mailing Address
Dr. MICHAEL LAWRENCE COLLERAN DDS
1250 PEACH ST SUITE E
SAN LUIS OBISPO, CA 93401-2837
Phone number: 805-546-0814
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