Organization
DALE R COLLINS D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE R COLLINS D.D.S. (DENTIST)
(302) 239-6125
Entity
Organization
Contact information
Practice address
5500 SKYLINE DR, SUITE 3, WILMINGTON, DE 19808-1772
(302) 239-3655
(302) 239-3661
Mailing address
5500 SKYLINE DR, SUITE 3, WILMINGTON, DE 19808-1772
(302) 239-3655
(302) 239-3661
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
G1-0000748
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034646
—
DE
Enumeration date
02/13/2007
Last updated
06/16/2008
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