Individual
MARIA CECILIA LATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 499-4962
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6873
(313) 494-6834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602214
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2024
Last updated
06/17/2024
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