Most Relevant Information
Provider Data
| NPI Number: | 1003657891 |
| Provider Name: | LASHUNDA COLLINS DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/04/2024 |
| Last Updated: | 06/04/2024 |
Provider Practice Location
1454 MADISON AVE W
IMMOKALEE
FL
341422200
Practice Location Phone/Fax
| Phone: | 2396583000 |
| Fax: |
Provider Mailing Location
1454 MADISON AVE W
IMMOKALEE
FL
341422200
Provider Mailing Phone/Fax
| Phone: | 2396583000 |
| Fax: |