Individual
DR. MARK ANDREW LATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0133
(402) 578-5156
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0133
(402) 578-5156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NE-6013
NE
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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