Jacob Shonota Collins
Jacob Shonota Collins is a Dentist in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2021.
- Licensed in
- NM
- In the registry since
- 2021
Practice location Address checks out
2525 E 30th StFarmington, NM 87401-4503
Phone: (505) 327-4863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 062584 (NM) |
|---|
Record details
| NPI number | 1528648045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 9, 2021 |
| Last updated in NPPES | April 9, 2021 |
| Certification date | April 9, 2021 |
| Mailing address | 2525 E 30th St, Farmington, NM 87401-4503 |
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