Organization
CHAD LATINO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHA LANE (MANAGER)
(254) 776-6241
Entity
Organization
Contact information
Practice address
6701 SANGER AVE, SUITE 101, WACO, TX 76710-7736
(254) 776-6241
(254) 776-6017
Mailing address
6701 SANGER AVE, SUITE 101, WACO, TX 76710-7736
(254) 776-6241
(254) 776-6017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20206
TX
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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