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1114062593
KENNETH J COLLINS
SPOKANE, WA
NPI
1114062593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 8105)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- KENNETH J COLLINS DDS
3151 E 28TH AVE
SPOKANE, WA 99223-4922
Phone number: 509-532-1111
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Mailing Address
-- KENNETH J COLLINS DDS
6222 E 25TH LN
SPOKANE, WA 99223-2301
Phone number: 509-443-1327
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