Individual
DR. MARK A COLLONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1033 GAYLEY AVE, #106, LOS ANGELES, CA 90024-3417
(310) 208-6333
Mailing address
1033 GAYLEY AVE, #106, LOS ANGELES, CA 90024-3417
(310) 208-6333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19856
CA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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