Organization
COLLET MASILLAMONI, DDS
Active
Other names
Dental Clinic of Yuma
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLET MASILLAMONI DDS (OWNER)
(928) 782-4369
Entity
Organization
Contact information
Practice address
240 E 24TH ST, YUMA, AZ 85364-8547
(928) 782-4369
(928) 782-4360
Mailing address
240 E 24TH ST, YUMA, AZ 85364-8547
(928) 782-4369
(928) 782-4360
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2726
AZ
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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