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Organization
TREY LATIOLAIS DDS PLLC
Active
Organization
TREY LATIOLAIS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREY LATIOLAIS (OWNER/DENTIST)
(903) 645-7335
Entity
Organization
Contact information
Practice address
1106 BROADNAX ST, DAINGERFIELD, TX 75638-1030
(903) 645-7335
Mailing address
1106 BROADNAX ST, DAINGERFIELD, TX 75638-1030
(903) 645-7335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24031
TX
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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