Individual
DR. JENNIFER LATSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 W MAIN ST, SEVILLE, OH 44273-8851
(330) 769-2918
Mailing address
16087 BRINBOURNE AVE, CLEVELAND, OH 44130-5424
(440) 668-7476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026934
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2021
Last updated
07/05/2022
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