DR. Richard J. Collis, D.D.S.
NPI #1801010632 in Hermosa Beach, California
Provider Information
- NPI Number
- 1801010632
- Entity Type
- Individual
- Name
- DR. Richard J. Collis, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2401 PACIFIC COAST HIGHWAY
- Address 2
- SUITE 205
- City
- Hermosa Beach
- State
- California
- ZIP Code
- 90254-2735
- Phone
- (310) 374-8901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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