Individual
DR. ELISE MARIE DE LATOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2371
(706) 721-6778
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2371
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN24440
FL
1223G0001X
General Practice Dentistry
Primary
DNF000450
GA
Other
Enumeration date
06/19/2015
Last updated
04/13/2023
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