Individual
SAMANTHA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1200 CHILDRENS AVE # 8F, OKLAHOMA CITY, OK 73104-4637
(405) 271-4750
(405) 271-4058
Mailing address
1200 CHILDRENS AVE STE 8F, OKLAHOMA CITY, OK 73104-4637
(580) 794-0183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6707
OK
Other
Enumeration date
06/08/2015
Last updated
08/07/2019
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