Organization
COLLINS ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT CONRAD COLLINS DDS, MS (ORTHODONTIST, OWNER)
(507) 258-5400
Entity
Organization
Contact information
Practice address
2946 JEREMIAH LN NW, ROCHESTER, MN 55901-4445
(507) 258-5400
Mailing address
2946 JEREMIAH LN NW, ROCHESTER, MN 55901-4445
(507) 258-5400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
03/23/2021
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