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Organization
TIN LATT DDS INC
Active
Organization
TIN LATT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIN LATT DDS (OWNER/DENTIST)
(626) 284-4200
Entity
Organization
Contact information
Practice address
883 S ATLANTIC BLVD STE C, MONTEREY PARK, CA 91754-4725
(626) 284-4200
(626) 284-4700
Mailing address
883 S ATLANTIC BLVD STE C, MONTEREY PARK, CA 91754-4725
(626) 284-4200
(626) 284-4700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49354
CA
Other
Enumeration date
07/30/2018
Last updated
08/08/2021
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