Individual
DR. BRUCE CHARLES LATELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
61 SOUTH WILLARD ST, BURLINGTON, VT 05401
(802) 863-1315
(802) 651-9301
Mailing address
61 S WILLARD ST, BURLINGTON, VT 05401-3419
(802) 863-1315
(802) 651-9301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
534
VT
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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