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Organization

JOHNSON & COLLINS ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MONTE KEITH COLLINS DDS, MSD (OWNER)
(817) 283-3777
Entity
Organization

Contact information

Practice address
2121 CENTRAL DR STE 2, BEDFORD, TX 76021-5885
(817) 283-3777
(817) 283-6929
Mailing address
2121 CENTRAL DR STE 2, BEDFORD, TX 76021-5885
(817) 283-3777
(817) 283-6929

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14170
TX

Other

Enumeration date
09/18/2008
Last updated
09/18/2008
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