Individual
DR. MARK C KILCOLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
HEALTH CENTER DRIVE, HEALTH CENTER BUILDING, UNION, WV 24983
(304) 772-3333
(304) 772-3512
Mailing address
PO BOX 618, HEALTH CENTER DRIVE, UNION, WV 24983-0618
(304) 772-3333
(304) 772-3512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2092
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135408000
—
WV
Enumeration date
11/06/2006
Last updated
07/08/2007
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