Individual
LATASHA N. SAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1222 JEFFERSON PARK AVE FL 2N, CHARLOTTESVILLE, VA 22903-3410
(434) 924-1774
(434) 243-6378
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413286
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2010
Last updated
08/12/2015
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