Organization
JEANNIE M. COLLINS DDS
Active
Other names
Noelridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNIE MARIE COLLINS DDS (OWNER)
(319) 393-6152
Entity
Organization
Contact information
Practice address
1201 42ND ST NE, CEDAR RAPIDS, IA 52402-5772
(319) 393-6152
(319) 378-9478
Mailing address
1201 42ND ST NE, CEDAR RAPIDS, IA 52402-5772
(319) 393-6152
(319) 378-9478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08567
IA
122300000X
Dentist
Primary
7922
IA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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