Individual
DR. JORDAN D COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8909 WELLER RD SW, LAKEWOOD, WA 98498-5967
(253) 581-4386
Mailing address
8909 WELLER RD SW, LAKEWOOD, WA 98498-5967
(253) 581-4386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60223497
WA
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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