Individual
DR. BRENT VERNON COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3110 CHURN CREEK RD, REDDING, CA 96002
(530) 222-1900
(530) 222-3690
Mailing address
3110 CHURN CREEK RD, REDDING, CA 96002
(530) 222-1900
(530) 222-3690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20165
CA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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