Individual
MICHELE M COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
(718) 992-7669
Mailing address
25 W 132ND ST APT 5A, NEW YORK, NY 10037-3220
(504) 975-1019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062249
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2020
Last updated
05/09/2024
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