Trey Latiolais Dds Pllc | |
1106 Broadnax St Daingerfield TX 75638-1030 | |
(903) 645-7335 | |
Not Available |
Full Name | Trey Latiolais Dds Pllc |
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Speciality | Dentist - General Practice |
Location | 1106 Broadnax St, Daingerfield, Texas |
Authorized Official Name and Position | Trey Latiolais (OWNER/DENTIST) |
Authorized Official Contact | 9036457335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trey Latiolais Dds Pllc 1106 Broadnax St Daingerfield TX 75638-1030 Ph: (903) 645-7335 | Trey Latiolais Dds Pllc 1106 Broadnax St Daingerfield TX 75638-1030 Ph: (903) 645-7335 |
NPI Number | 1013454404 |
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Provider Enumeration Date | 01/24/2017 |
Last Update Date | 01/24/2017 |
Identifier | Type | State | Issuer |
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1013454404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 24031 (Texas) | Primary |