Organization
RENATO R. LATINI DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO RICHARD LATINI D.D.S. (PRESIDENT)
(856) 931-5255
Entity
Organization
Contact information
Practice address
51 W KINGS HWY, MOUNT EPHRAIM, NJ 08059-1304
(856) 931-5255
Mailing address
51 W KINGS HWY, MOUNT EPHRAIM, NJ 08059-1304
(856) 931-5255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00900200
NJ
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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