Vincent Nevin Lattanzi, PROPHY TECH

NPI #1194375188 in Fort Eustis, Virginia

Provider Information

NPI Number
1194375188
Entity Type
Individual
Name
Vincent Nevin Lattanzi, PROPHY TECH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Assistant
Credential
PROPHY TECH
Enumeration Date
Sep 12, 2019
Last Updated
Sep 12, 2019

Practice Location

Address
576 FORT EUSTIS BLVD
ZIP Code
23604
Phone
(757) 314-7925

Specialties & Taxonomy Codes

Specialty
Dental Assistant

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