Individual
JESSICA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
151 WATERMAN ST STE 6, PROVIDENCE, RI 02906-2118
(401) 274-5024
Mailing address
151 WATERMAN ST STE 6, PROVIDENCE, RI 02906-2118
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN03620
RI
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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