Individual
COLLIN JACOB TRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4231 COLONIAL AVE, ROANOKE, VA 24018-4025
(214) 828-8215
Mailing address
4231 COLONIAL AVE, ROANOKE, VA 24018-4025
(540) 989-4698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419455
VA
Other
Enumeration date
04/07/2023
Last updated
06/18/2025
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