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Organization
DIANA LATINOW DDS, MSD, PC
Active
Organization
DIANA LATINOW DDS, MSD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA HRISTINE LATINOW DDS, MSD (DENTIST/PRESIDENT)
(605) 765-9674
Entity
Organization
Contact information
Practice address
105 E BLAINE AVE, GETTYSBURG, SD 57442-1167
(605) 765-9674
Mailing address
105 E BLAINE AVE, GETTYSBURG, SD 57442-1167
(605) 765-9674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D0902
SD
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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