Organization
KATHLEEN A. COLLINS, DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ANN COLLINS DDS (OWNER)
(714) 887-0444
Entity
Organization
Contact information
Practice address
16052 BEACH BLVD, SUITE 120, HUNTINGTON BEACH, CA 92647-3801
(714) 887-0444
(714) 887-0452
Mailing address
16052 BEACH BLVD, SUITE 120, HUNTINGTON BEACH, CA 92647-3801
(714) 887-0444
(714) 887-0452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
47248
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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