# COLINA DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164843132
- **Authorized official:** DR. JOEY JOHN COLINA D.D.S. (GENERAL DENTIST)
- **Authorized official phone:** (804) 241-4851

## Contact information

- **Practice address:** 1646 TAPPAHANNOCK BLVD, TAPPAHANNOCK, VA 22560-9346
- **Practice address phone:** (804) 443-5984
- **Practice address fax:** (804) 443-3462
- **Mailing address:** PO BOX 1237, 1646 TAPP BLVD, TAPPAHANNOCK, VA 22560-1237
- **Mailing address phone:** (804) 443-5984
- **Mailing address fax:** (804) 443-3462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401007889 | VA | Yes |

## Other

- **Enumeration date:** 12/18/2013
- **Last updated:** 12/18/2013
