Individual
YVONNE MAURINE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE INDIAN HEALTH CENTER, PAWNEE, OK 74058-3744
(918) 762-6561
(918) 762-3543
Mailing address
1201 HERITAGE CIR, PAWNEE INDIAN HEALTH CENTER, PAWNEE, OK 74058-3744
(918) 762-6561
(918) 762-3543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4406
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112090A
—
OK
Enumeration date
09/19/2006
Last updated
01/21/2011
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