Individual
SHANETHA LINN COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
Mailing address
2227 GERSHWIN DR, DURANT, OK 74701-2015
(580) 775-0552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6476
OK
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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