Individual
DR. CHAZ TAYLOR COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10283 BRISTOW CENTER DR, BRISTOW, VA 20136-2240
(703) 565-2920
Mailing address
2095 MOUNTAIN RD, HAYMARKET, VA 20169-1552
(703) 554-2007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417480
VA
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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