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Individual
DR. JAMES LATINIS
Active
Individual
DR. JAMES LATINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16106
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE CROSS BLUE SHIE
D8044703
MI
01
—
UNITED CONCORDIA
817489
—
Enumeration date
01/23/2007
Last updated
12/11/2024
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