Individual
DR. PHILIP J LATTEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2532 PATTERSON RD, SUITE 1, GRAND JUNCTION, CO 81505-3604
(970) 243-9292
Mailing address
2532 PATTERSON RD, SUITE 1, GRAND JUNCTION, CO 81505-3604
(970) 243-9292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411334
VA
1223G0001X
General Practice Dentistry
Primary
9631
CO
Other
Enumeration date
08/30/2006
Last updated
03/26/2013
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