Lisa B. Latella D.M.D.

NPI 1033124862 - Dentist - 1223G0001X

NPI Details
NPI 1033124862
Gender Female
Enumeration Date 07/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
191 BROAD ST
RED BANK NJ, 07701-2015, US
Phone (732) 747-2022
Fax (732) 747-5524
Business Location
191 BROAD ST
RED BANK NJ, 07701-2015, US
Phone (732) 747-2022
Fax (732) 747-5524
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number 17916
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According to our database, Dr. Lisa B. Latella D.M.D. NPI is 1033124862, taxonomy code is 1223G0001X and license number is 17916, license state is located at New Jersey. Lisa B. Latella D.M.D. physically located at 191 Broad St, Red Bank NJ, 07701-2015. NPI Number Lisa B. Latella D.M.D. has the Individual type.

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1033124862 NPI number is provided on an as is basis without warranty of any kind. 1033124862 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa B. Latella D.M.D. are for informational purposes only.