Individual
MR. BRIAN KENT COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7184
(417) 466-4081
Mailing address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7184
(417) 466-4081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015737
MO
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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