Individual
MR. DAVID LESTER LATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2633 SHIRLEY DR, JACKSON, MI 49201
(517) 787-2516
(517) 787-7734
Mailing address
2633 SHIRLEY DR, JACKSON, MI 49284
(517) 787-2516
(517) 787-7734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11083
MI
1223G0001X
General Practice Dentistry
11083
MI
Other
Enumeration date
07/25/2006
Last updated
04/20/2012
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