Individual
VINCENT NEVIN LATTANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROPHY TECH
Contact information
Practice address
576 FORT EUSTIS BLVD, FORT EUSTIS, VA 23604
(757) 314-7925
Mailing address
577 STERNBERG AVE, FORT EUSTIS, VA 23604-1526
(757) 314-7799
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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