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Individual
DR. CHRISTOPHER JAMES COLLIE
Active
Individual
DR. CHRISTOPHER JAMES COLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414786
VA
122300000X
Dentist
9963
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401414786
VA BOARD OF DENTISTRY
VA
01
—
9963
NC BOARD OF DENTAL EXAMINERS
NC
Enumeration date
07/14/2014
Last updated
01/09/2018
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