GORDON WILLIAM COLLINS

BONNEY LAKE, WA
NPI1871716647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  5164)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- GORDON WILLIAM COLLINS DDS
8910 184TH AVE E SUITE D
BONNEY LAKE, WA 98391-8531
Phone number: 253-863-5185
Mailing Address
-- GORDON WILLIAM COLLINS DDS
PO BOX 7272
BONNEY LAKE, WA 98391-0939
Phone number: 253-863-5185