Jared Ralph Collett, DMD, PA-C | |
8960 Brown Drive, Bldg 9, Floor 2, Bethesda, MD 20889-5629 | |
(301) 400-2060 | |
Not Available |
Full Name | Jared Ralph Collett |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 8960 Brown Drive, Bethesda, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427210780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | PA60034324 (Washington) | Secondary |
122300000X | Dentist | D011535 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jared Ralph Collett, DMD, PA-C 16433 Keats Ter, Derwood, MD 20855-1920 Ph: (509) 438-4786 | Jared Ralph Collett, DMD, PA-C 8960 Brown Drive, Bldg 9, Floor 2, Bethesda, MD 20889-5629 Ph: (301) 400-2060 |