Individual
DR. LINDSEY BROCK LATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1689 OLD PENDERGRASS RD STE 310, JEFFERSON, GA 30549-2716
(706) 367-0010
Mailing address
300 HADDEN CT, ATHENS, GA 30606-7829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123161
GA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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