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1609976737
KEITH WALTER COLLINS
VANCOUVER, WA
NPI
1609976737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA 5238)
Additional Taxonomies
122300000X Dentist
(Licence: OR 5411)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Dr. KEITH WALTER COLLINS DMD
8615 NE HAZEL DELL AVE
VANCOUVER, WA 98665-8017
Phone number: 360-574-7477
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Mailing Address
Dr. KEITH WALTER COLLINS DMD
8615 NE HAZEL DELL AVE
VANCOUVER, WA 98665-8017
Phone number: 360-574-7477
Copy
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