Individual
DR. DALE RICHARD COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5500 SKYLINE DR, WILMINGTON, DE 19808-1772
(302) 239-3655
Mailing address
5500 SKYLINE DR, WILMINGTON, DE 19808-1772
(302) 239-3655
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
G5-0000748
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000034520
—
DE
Enumeration date
10/10/2006
Last updated
07/09/2007
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