DR. Elise Marie De Latour, DDS

NPI #1235511858 in Augusta, Georgia

Provider Information

NPI Number: 1235511858
Entity Type: Individual
Name: DR. Elise Marie De Latour, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 19, 2015
Last Updated: Apr 13, 2023

Practice Location

Address: 1430 JOHN WESLEY GILBERT DRIVE
City: Augusta
State: Georgia
ZIP Code: 30912-0001
Phone: (706) 721-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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