Destination Dental Professionals II
NPI #1043351018 in Custer, South Dakota
Provider Information
- NPI Number
- 1043351018
- Entity Type
- Organization
- Organization Name
- Destination Dental Professionals II
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 10, 2007
- Last Updated
- Aug 2, 2018
Practice Location
- Address
- 141 N 5TH ST
- City
- Custer
- State
- South Dakota
- ZIP Code
- 57730-1528
- Phone
- (605) 673-2011
Authorized Official
- Name
- DIANA LATINOW, DDS
- Title
- DENTIST / OWNER
- Phone
- (605) 673-2011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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