Individual
DR. COLLIN VAUGHN CRAIG REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS01/06/
Contact information
Practice address
1901 W 21ST ST N, WICHITA, KS 67203
(316) 832-2838
(316) 832-9530
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61310
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508134289
—
KS
Enumeration date
12/08/2011
Last updated
06/11/2019
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