Organization
R. CHARLIE COLLINS AND UTE J. COLLINS
Active
Other names
Roosevelt Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CHARLIE COLLINS D.D.S. (CO-OWNER)
(360) 293-5311
Entity
Organization
Contact information
Practice address
1220 22ND ST, SUITE C, ANACORTES, WA 98221-2582
(360) 293-5311
(360) 293-5114
Mailing address
1220 22ND ST, SUITE C, ANACORTES, WA 98221-2582
(360) 293-5311
(360) 293-5114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010086
WA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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