Individual
DR. MICHELLE LATORTUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5 N FIRST ST, INDIAN HEAD, MD 20640-1801
(813) 508-4563
Mailing address
3624 BROTHERS PL SE, WASHINGTON, DC 20032-1523
(813) 508-4563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16526
MD
1223G0001X
General Practice Dentistry
DEN1001899
DC
Other
Enumeration date
07/11/2017
Last updated
09/24/2023
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