| Lata Stefano Dds Inc | |
|
1617 W Bogart Road Sandusky OH 44870 | |
| (419) 626-2205 | |
| (419) 626-2274 |
| Full Name | Lata Stefano Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1617 W Bogart Road, Sandusky, Ohio |
| Authorized Official Name and Position | Lata A Stefano (OWNER) |
| Authorized Official Contact | 4196262205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lata Stefano Dds Inc 1617 W Bogart Road Sandusky OH 44870 Ph: (419) 626-2205 | Lata Stefano Dds Inc 1617 W Bogart Road Sandusky OH 44870 Ph: (419) 626-2205 |
| NPI Number | 1881767671 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881767671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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