Most Relevant Information
Provider Data
NPI Number: | 1003345000 |
Provider Name: | PATRICK DAVID KOLKER DDS |
Entity Type: | Individual |
Taxonomy Code: | 1223G0001X |
Specialty: | Dentist |
License Number: | DDS-09418 |
Most Important Dates
Enumeration Date: | 06/05/2017 |
Last Updated: | 06/05/2017 |
Provider Practice Location
23 N FEDERAL AVE
MASON CITY
IA
504013250
Practice Location Phone/Fax
Phone: | 6414234225 |
Fax: |
Provider Mailing Location
124 35TH PL W
CLEAR LAKE
IA
504281080
Provider Mailing Phone/Fax
Phone: | |
Fax: |