Individual
LATASHUA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1407 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3315
(573) 778-3042
(573) 778-9432
Mailing address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
(573) 663-2441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019046349
MO
Other
Enumeration date
03/19/2018
Last updated
07/21/2026
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