| NPI | 1144633314 |
|---|---|
| Former Legal Business Name | DR PHILIP H. COLLINS DDS |
| Entity Type | Organization |
| Authorized Contact | PHILIP H COLLINS Owner 708-448-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019-017178) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019-028616) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |