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Organization
R. CHARLIE COLLINS AND UTE J. COLLINS
Active
Organization
R. CHARLIE COLLINS AND UTE J. COLLINS
Active
Other names
Roosevelt Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CHARLIE COLLINS D.D.S. (CO-OWNER)
(360) 293-5311
Entity
Organization
Contact information
Practice address
1220 22ND ST, SUITE C, ANACORTES, WA 98221-2582
(360) 293-5311
(360) 293-5114
Mailing address
1220 22ND ST, SUITE C, ANACORTES, WA 98221-2582
(360) 293-5311
(360) 293-5114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010086
WA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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