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Individual
DEMITRIUS LATOCHA
Active
Individual
DEMITRIUS LATOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1219
AK
122300000X
Dentist
DEN-DEN-LIC-23725
MT
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-23725
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1748123
UNITED CONCORDIA
—
05
—
DD4833
—
AK
Enumeration date
07/25/2006
Last updated
10/10/2023
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