Individual
DR. JOSEPH BRUCE LATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1107 SLIGO CREEK PKWY, TAKOMA PARK, MD 20912-5806
(301) 891-7760
(301) 891-7791
Mailing address
1107 SLIGO CREEK PKWY, TAKOMA PARK, MD 20912-5806
(301) 891-7760
(301) 891-7791
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5479
MD
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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