Individual
DR. SARAH ROSE LATTERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10945 ULYSSES ST NE, BLAINE, MN 55434-4185
(763) 784-1993
(763) 784-1575
Mailing address
10945 ULYSSES STREET NE, BLAINE, MN 55434
(763) 784-1993
(763) 784-1575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12679
MN
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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