| Mark W. Collins.d.d.s.,inc. | |
|
12285 Scripps Poway Pkwy Suite 102 Poway CA 92064-6149 | |
| (858) 536-8338 | |
| Not Available |
| Full Name | Mark W. Collins.d.d.s.,inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12285 Scripps Poway Pkwy, Poway, California |
| Authorized Official Name and Position | Mark William Collins (OWNER/PRESIDENT) |
| Authorized Official Contact | 8585368338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W. Collins.d.d.s.,inc. 12285 Scripps Poway Pkwy Suite 102 Poway CA 92064-6149 Ph: (858) 536-8338 | Mark W. Collins.d.d.s.,inc. 12285 Scripps Poway Pkwy Suite 102 Poway CA 92064-6149 Ph: (858) 536-8338 |
| NPI Number | 1659463057 |
|---|---|
| Provider Enumeration Date | 09/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659463057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37990 (California) | Primary |
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