Organization
LATVIS FAMILY DENTISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J. LATVIS D.D.S. (DENTIST)
(860) 593-3582
Entity
Organization
Contact information
Practice address
14 MAPLE ST, TERRYVILLE, CT 06786-5220
(860) 583-3582
(860) 582-8654
Mailing address
14 MAPLE ST, TERRYVILLE, CT 06786-5220
(860) 583-3582
(860) 582-8654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008292
CT
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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