Individual
MATTHEW LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
18 S MAIN ST, MECHANICSBURG, OH 43044-1111
(937) 834-2252
(937) 834-2269
Mailing address
PO BOX 103, MECHANICSBURG, OH 43044-0103
(937) 824-2252
(937) 834-2269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025047
OH
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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