Individual
DR. WILLIE F. COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
611 E PRUDHOMME ST, SUITE 2, OPELOUSAS, LA 70570-6458
(337) 942-1007
(337) 942-9684
Mailing address
611 E PRUDHOMME ST, SUITE 2, OPELOUSAS, LA 70570-6458
(337) 942-1007
(337) 942-9684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1842656
—
LA
Enumeration date
12/26/2006
Last updated
07/08/2007
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