Individual
DR. LATEDRA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 889-4857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2007021218
MO
Other
Enumeration date
09/27/2007
Last updated
12/01/2011
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