DR. Mark Andrew Latta, DMD, MS

NPI #1255601001 in Omaha, Nebraska

Provider Information

NPI Number
1255601001
Entity Type
Individual
Name
DR. Mark Andrew Latta, DMD, MS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD, MS
Enumeration Date
Jan 11, 2012
Last Updated
Jan 11, 2012

Practice Location

Address
2500 CALIFORNIA PLZ
City
Omaha
ZIP Code
68178-0133
Phone
(402) 578-5156

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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