Organization
LATVIS FAMILY DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LATVIS (OWNER)
(860) 584-5240
Entity
Organization
Contact information
Practice address
82 WASHINGTON ST, BRISTOL, CT 06010
(860) 584-5240
(860) 584-5202
Mailing address
82 WASHINGTON ST, BRISTOL, CT 06010
(860) 584-5240
(860) 584-5202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8292
CT
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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