Individual
DR. ROBERTO JOAQUIN CABASSA LATONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
819 NE 26TH ST STE C, WILTON MANORS, FL 33305-1239
(305) 484-3657
Mailing address
PO BOX 290370, FT LAUDERDALE, FL 33329-0370
(954) 262-4346
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DTP695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102175000
—
FL
Enumeration date
02/01/2006
Last updated
03/09/2020
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