| Chad Latino Dds Pa | |
|
6701 Sanger Ave Suite 101 Waco TX 76710-7736 | |
| (254) 776-6241 | |
| (254) 776-6017 |
| Full Name | Chad Latino Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6701 Sanger Ave, Waco, Texas |
| Authorized Official Name and Position | Kisha Lane (MANAGER) |
| Authorized Official Contact | 2547766241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Latino Dds Pa 6701 Sanger Ave Suite 101 Waco TX 76710-7736 Ph: (254) 776-6241 | Chad Latino Dds Pa 6701 Sanger Ave Suite 101 Waco TX 76710-7736 Ph: (254) 776-6241 |
| NPI Number | 1265874002 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265874002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20206 (Texas) | Primary |
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