LATEDRA COLLINS

LAKE CHARLES, LA
NPI1871780403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  5876)
Additional Taxonomies122300000X Dentist
(Licence: MO  2007021218)
Enumeration Date2007-09-27
Last Update Date2026-10-07
Business Address
Dr. LATEDRA COLLINS
2706 RYAN ST
LAKE CHARLES, LA 70601-7328
Phone number: 225-263-6780
Mailing Address
Dr. LATEDRA COLLINS
2706 RYAN ST
LAKE CHARLES, LA 70601-7328
Phone number: 816-213-0937
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