# COLLET MASILLAMONI, DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Clinic of Yuma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215295951
- **Authorized official:** DR. COLLET MASILLAMONI DDS (OWNER)
- **Authorized official phone:** (928) 782-4369

## Contact information

- **Practice address:** 240 E 24TH ST, YUMA, AZ 85364-8547
- **Practice address phone:** (928) 782-4369
- **Practice address fax:** (928) 782-4360
- **Mailing address:** 240 E 24TH ST, YUMA, AZ 85364-8547
- **Mailing address phone:** (928) 782-4369
- **Mailing address fax:** (928) 782-4360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2726 | AZ | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 05/01/2012