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Organization

MEL COLLAZO, DDS, MS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERI COLLAZO (BUSINESS MANAGER)
(501) 221-0004
Entity
Organization

Contact information

Practice address
11811 HINSON RD STE 100, LITTLE ROCK, AR 72212-3472
(501) 221-0004
(501) 219-0300
Mailing address
11811 HINSON RD STE 100, LITTLE ROCK, AR 72212-3472
(501) 221-0004
(501) 219-0300

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2749
AR

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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