Individual
MRS. KATERYNA LATYPOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
160 BENMONT AVE, SUITE 21, BENNINGTON, VT 05201
(802) 447-3199
(802) 447-3123
Mailing address
160 BENMONT AVE, SUITE 21, BENNINGTON, VT 05201
(802) 447-3199
(802) 447-3123
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
04805
NH
1223P0300X
Periodontics
20675
MA
1223P0300X
Periodontics
Primary
2284
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203041
—
MA
Enumeration date
08/02/2006
Last updated
09/17/2024
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