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Dr. Walter Collazo, DDS
General Practice Dentistry in Herndon, Virginia
NPI 1780774299

Walter Collazo is a General Practice Dentistry based in Herndon, VA and is specialized in General Practice. Walter Collazo practices in Herndon, VA and has the professional credentials of DDS. The NPI Number for Walter Collazo is 1780774299 and holds a License No. 0401008551 (Virginia).

The current practice location address for Walter Collazo is 555 Grove St Ste 108, Herndon, VA and can be reached out via phone at 703-787-7778 and via fax at 571-203-1390.

Location: 555 Grove St Ste 108, Herndon, VA, 20170-4728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780774299
Provider Name
Walter Collazo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
555 Grove St Ste 108, Herndon, VA, 20170-4728
Phone Number
703-787-7778
Fax Number
571-203-1390
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
452873 01 VA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
555 Grove St Ste 108
City
Herndon
State
Virginia
Zip
20170-4728
Phone Number
703-787-7778
Fax Number
571-203-1390
person
Provider Business Mailing Address Details
Address
555 Grove St Ste 108
City
Herndon
State
Virginia
Zip
20170-4728
Phone Number
703-787-7778
Fax Number
571-203-1390
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401008551 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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