Individual
DR. COLLIN LEE EDMINSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
612 N CANYON ST, CARLSBAD, NM 88220-5842
(157) 588-7759
Mailing address
706 N 3RD ST, CARLSBAD, NM 88220-3814
(505) 504-5323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5325
NM
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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