Organization
KOALA DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAIVD COLLIER DDS (DENTIST/OWNER)
(320) 253-8380
Entity
Organization
Contact information
Practice address
3950 VETERANS DRIVE, SUITE 102, SAINT CLOUD, MN 56303
(320) 253-8380
(320) 253-8419
Mailing address
3950 VETERANS DRIVE, SUITE 102, SAINT CLOUD, MN 56303
(320) 253-8380
(320) 253-8419
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/26/2007
Last updated
12/06/2023
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