Individual
DR. KRISTIN J COLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 PROFESSIONAL CTR STE 206, 2100 NORTH MAIN STREET, CROWN POINT, IN 46307-1882
(219) 663-9500
(219) 663-9595
Mailing address
1 PROFESSIONAL CTR STE 206, 2100 NORTH MAIN STREET, CROWN POINT, IN 46307-1882
(219) 663-9500
(219) 663-9595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011034A
IN
Other
Enumeration date
05/08/2008
Last updated
09/06/2011
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