Mai Lati

NPI #1801505052 in Columbia, Mississippi

Provider Information

NPI Number: 1801505052
Entity Type: Individual
Name: Mai Lati
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Nov 16, 2022
Last Updated: Nov 16, 2022

Practice Location

Address: 430 BROAD ST
City: Columbia
State: Mississippi
ZIP Code: 39429-3006
Phone: (601) 736-7125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
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