Chad Latino DDS PA

NPI #1265874002 in Waco, Texas

Provider Information

NPI Number
1265874002
Entity Type
Organization
Organization Name
Chad Latino DDS PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 22, 2013
Last Updated
Jul 22, 2013

Practice Location

Address
6701 SANGER AVE
Address 2
SUITE 101
City
Waco
State
Texas
ZIP Code
76710-7736
Phone
(254) 776-6241

Authorized Official

Name
KISHA LANE
Title
MANAGER
Phone
(254) 776-6241

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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