Organization
LATORTUE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE LATORTUE DDS (OWNER)
(813) 508-4563
Entity
Organization
Contact information
Practice address
5 N FIRST ST, INDIAN HEAD, MD 20640-1801
(813) 508-4563
Mailing address
3624 BROTHERS PL SE, WASHINGTON, DC 20032-1523
(813) 508-4563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
12/09/2021
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