Raven Collins

NPI #1891255584 in Holly Ridge, North Carolina

Provider Information

NPI Number: 1891255584
Entity Type: Individual
Name: Raven Collins
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 20, 2019
Last Updated: Sep 23, 2022

Practice Location

Address: 200 HWY 17 N
City: Holly Ridge
State: North Carolina
ZIP Code: 28445
Phone: (910) 329-8191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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