Individual
GORDON WILLIAM COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8910 184TH AVE E, SUITE D, BONNEY LAKE, WA 98391-8531
(253) 863-5185
(253) 863-5185
Mailing address
PO BOX 7272, BONNEY LAKE, WA 98391-0939
(253) 863-5185
(253) 863-5185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5164
WA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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