Organization
COLLINS ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE WESLEY COLLINS D.D.S., M.S. (PRESIDENT/ENDODONTIST)
(512) 850-9972
Entity
Organization
Contact information
Practice address
7300 FM 2222, BUILDING V, SUITE 212, AUSTIN, TX 78730
(512) 346-7668
(512) 346-8300
Mailing address
7300 FARM RD 2222, BUILDING V, SUITE 212, AUSTIN, TX 78730-3204
(512) 850-9972
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
23831
TX
Other
Enumeration date
02/03/2009
Last updated
09/17/2014
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