Individual
CHAD J LATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6701 SANGER AVE, SUITE 101, WACO, TX 76710-7736
(254) 776-6241
(254) 776-6017
Mailing address
6701 SANGER AVE, SUITE 101, WACO, TX 76710-7736
(254) 776-6241
(254) 776-6017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166291801
—
TX
Enumeration date
04/25/2007
Last updated
07/22/2013
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