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Individual

DR. BLAKE D COLLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
200 MERCY CT, CAMP PENDLETON, CA 92055
(760) 719-4747
Mailing address
200 MERCY CT, DENTAL DEPARTMENT, CAMP PENDLETON, CA 92055

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
103900
CA

Other

Enumeration date
06/29/2019
Last updated
08/04/2025
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