Austin Charles Collazo, DDS
Dentist in Hawthorne, CA. Individual provider (NPI-1).
NPI number1497280358
StatusActive
Last updated in NPPESMay 4, 2023
Details
- NPI
- 1497280358
- Entity type
- Individual (NPI-1)
- Name
- Austin Charles Collazo
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2017
- Certification date
- May 4, 2023
- Last updated
- May 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 108679 | CA | Yes |
| 122300000X | Dentist | DEN.00203202 | CO |
Practice location
14248 Hawthorne BlvdHawthorne, CA 90250-7008
Phone 501-247-4888
Mailing address
617 N Doheny DrBeverly Hills, CA 90210-3526
Other practice locations
1407 W 84th Ave Unit B8
Denver, CO 80260-4753
Denver, CO 80260-4753
Phone 720-214-4746 · Fax 720-214-4745
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