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CHAD P. COLLINS DMD

Oral and Maxillofacial Surgery

Spokane, Washington

Provider NPI: 1215903554

Provider Information:
 CHAD P. COLLINS DMD
Gender: M


Practice Location:
322 W 7TH AVE  SPOKANE, WA 99204 US
Tel: 509-624-2202  Fax: 509-624-9378

Business Mailing Address:
322 W 7TH AVE  SPOKANE, WA 99204 US
Tel: 509-624-2202  Fax: 509-624-9378

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
WA8710

Other Provider Identifiers:

IssuerNumberStateType
5034178WA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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