Individual
DR. LATISHA SHINTRELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1210 MILLERSVILLE PIKE, LANCASTER, PA 17603-6656
(717) 299-4300
Mailing address
1210 MILLERSVILLE PIKE, LANCASTER, PA 17603-6656
(717) 299-4300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412769
VA
1223G0001X
General Practice Dentistry
0401412769
VA
1223G0001X
General Practice Dentistry
Primary
DS040722
PA
Other
Enumeration date
12/29/2006
Last updated
01/17/2023
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