Jacob Shonota Collins
NPI #1528648045 in Farmington, New Mexico
Provider Information
- NPI Number
- 1528648045
- Entity Type
- Individual
- Name
- Jacob Shonota Collins
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 9, 2021
- Last Updated
- Apr 9, 2021
Practice Location
- Address
- 2525 E 30TH ST
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-4503
- Phone
- (505) 327-4863
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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