Individual
MS. CHRISTINE MARIE COLLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1082
Mailing address
8714 MIAMI DR, ROWLETT, TX 75088-4632
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.009885
IL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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