| Mel Collazo, Dds, Ms, Pa | |
|
11811 Hinson Rd Ste 100 Little Rock AR 72212-3472 | |
| (501) 221-0004 | |
| (501) 219-0300 |
| Full Name | Mel Collazo, Dds, Ms, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11811 Hinson Rd Ste 100, Little Rock, Arkansas |
| Authorized Official Name and Position | Sheri Collazo (BUSINESS MANAGER) |
| Authorized Official Contact | 5012210004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mel Collazo, Dds, Ms, Pa 11811 Hinson Rd Ste 100 Little Rock AR 72212-3472 Ph: (501) 221-0004 | Mel Collazo, Dds, Ms, Pa 11811 Hinson Rd Ste 100 Little Rock AR 72212-3472 Ph: (501) 221-0004 |
| NPI Number | 1710119136 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710119136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2749 (Arkansas) | Primary |
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