Organization
COLLINSFAMILYDENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J COLLINS DDS (DENTIST/OWNER)
(509) 532-1111
Entity
Organization
Contact information
Practice address
3151 E 28TH AVE, SPOKANE, WA 99223-4922
(509) 532-1111
Mailing address
3151 E 28TH AVE, SPOKANE, WA 99223-4922
(509) 532-1111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8105
WA
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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