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Individual

DR. KEVIN MARK COLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2970 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4145
(703) 583-7720
Mailing address
2970 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4145
(703) 583-7720

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411208
VA

Other

Enumeration date
01/30/2007
Last updated
08/09/2012
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