# RENATO R. LATINI DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841360658
- **Authorized official:** DR. RENATO RICHARD LATINI D.D.S. (PRESIDENT)
- **Authorized official phone:** (856) 931-5255

## Contact information

- **Practice address:** 51 W KINGS HWY, MOUNT EPHRAIM, NJ 08059-1304
- **Practice address phone:** (856) 931-5255
- **Mailing address:** 51 W KINGS HWY, MOUNT EPHRAIM, NJ 08059-1304
- **Mailing address phone:** (856) 931-5255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI00900200 | NJ | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 08/22/2020
