Individual
DR. SEAN BARRY COLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60485736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040381
—
WA
Enumeration date
10/17/2014
Last updated
07/21/2022
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