Individual
MICHAEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1101 W PLATTE AVE, FORT MORGAN, CO 80701-2959
(815) 427-5300
Mailing address
1101 W PLATTE AVE, FORT MORGAN, CO 80701-2959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029625
IL
Other
Enumeration date
09/16/2013
Last updated
08/17/2016
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