KEITH WALTER COLLINS

VANCOUVER, WA
NPI1609976737
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  5238)
Additional Taxonomies122300000X Dentist
(Licence: OR  5411)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
Dr. KEITH WALTER COLLINS DMD
8615 NE HAZEL DELL AVE
VANCOUVER, WA 98665-8017
Phone number: 360-574-7477
Mailing Address
Dr. KEITH WALTER COLLINS DMD
8615 NE HAZEL DELL AVE
VANCOUVER, WA 98665-8017
Phone number: 360-574-7477
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