Mark C Kilcollin, DDS Valid NPI
Individual provider · Dentist · Union, WV
- NPI
- 1598844748
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2092 (WV)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-06
- Last updated
- 2007-07-08
Practice location
Health Center Drive, Health Center Building
Union, WV 24983
(304) 772-3333