Individual
LATOSHA DENISE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19 S MAIN ST, HIAWASSEE, GA 30546-3433
(706) 896-1204
Mailing address
6 PORTER ST SW, ROME, GA 30161-4569
(706) 728-6423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015682
GA
Other
Enumeration date
07/19/2018
Last updated
05/20/2019
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