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Organization

SOFT PALATE DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRINA B COLLINS DDS (OWNER)
(484) 226-7023
Entity
Organization

Contact information

Practice address
1734 E LITTLE CREEK RD, NORFOLK, VA 23518-4202
(757) 651-2082
(407) 479-3846
Mailing address
PO BOX 14186, NORFOLK, VA 23518-0186
(757) 651-2082
(407) 479-3846

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
03/02/2017
Last updated
03/23/2017
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