Individual
MR. LEONARD TATRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
272 DOGWOOD DRIVE, BIG STONE GAP, VA 24219
(276) 523-3310
Mailing address
3744 ARROWHEAD TRL, KINGSPORT, TN 37664-2102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410170
VA
122300000X
Dentist
DS0000007588
TN
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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