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
- City
- Fort Eustis
- State
- Virginia
- ZIP Code
- 23604
- Phone
- (757) 314-7925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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