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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISENIA COLLAZO, DMD

Active

LISENIA COLLAZO, DMD is a Dentist healthcare provider located in GWINN, Michigan. NPI 1578125423 is currently active in the NPPES registry. Verify at CMS.

Dentist · GWINN, MI

Registration Details

NPI Number
1578125423
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2019 (6.9747344762142 yrs)
Last Updated
Oct 29, 2024
License
2901600436 (MI)

Practice Information

Address
301 EXPLORER ST
GWINN, MI, 498412813
Browse MI providers · Browse ZIP 49841
Phone
9063464924
Fax
9063723230
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in GWINN, MI

Name Credential NPI
DR. MARK WILLIAM BREIT D.D.S. 1386687572
DR. GWENDOLYN JOY BUCK DDS 1851563928
DR. ANDREW JAMES EKDAHL D.D.S. 1184983249
DR. ASHLEY JEAN BRINTLINGER D.D.S. 1801262639
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.