Individual
BRENT ANDREW COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1301 W GLADE RD STE 110, EULESS, TX 76039-5419
(817) 358-2008
Mailing address
4724 BILL SIMMONS RD, COLLEYVILLE, TX 76034-4331
(817) 991-3883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35407
TX
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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