Individual
DR. LATOYA CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13600 BALTIMORE AVE STE 200, LAUREL, MD 20707-9495
(410) 844-3939
Mailing address
9015 QUEENS BLVD, APT 2F, ELMHURST, NY 11373-4900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
052600-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
052600
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16218
MD
Other
Enumeration date
09/17/2006
Last updated
11/17/2020
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