Individual
MRS. TERI SUE COLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
480 WEST LOWDER STREET, MACCLENNY, FL 32063
(904) 259-6291
(904) 259-1950
Mailing address
480 WEST LOWDER STREET, MACCLENNY, FL 32063
(904) 259-6291
(904) 259-1950
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 9996
FL
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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