Individual
LATASHA NICOLE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
13410 NEW HALLS FERRY RD, FLORISSANT, MO 63033-3035
(314) 830-9663
(314) 830-9664
Mailing address
9378 OLIVE BLVD, SUITE ILL, OLIVETTE, MO 63132-3215
(314) 872-3930
(314) 872-3952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.028729
IL
1223G0001X
General Practice Dentistry
Primary
2011020304
MO
Other
Enumeration date
07/25/2011
Last updated
08/05/2011
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