Organization
COLINA DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEY JOHN COLINA D.D.S. (GENERAL DENTIST)
(804) 241-4851
Entity
Organization
Contact information
Practice address
1646 TAPPAHANNOCK BLVD, TAPPAHANNOCK, VA 22560-9346
(804) 443-5984
(804) 443-3462
Mailing address
PO BOX 1237, 1646 TAPP BLVD, TAPPAHANNOCK, VA 22560-1237
(804) 443-5984
(804) 443-3462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007889
VA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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