Individual
KATHERINE ANN LATENDRESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2680 AIRPORT RD, JACKSON, MI 49202-1257
(517) 784-5525
Mailing address
1443 AUSTON LN, CHELSEA, MI 48118-2104
(906) 201-0852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600934
MI
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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