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1104842301
LATA ROSE STEFANO
SANDUSKY, OH
NPI
1104842301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OH 20079)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Dr. LATA ROSE STEFANO DDS
1617 W BOGART RD
SANDUSKY, OH 44870-5787
Phone number: 419-626-2205
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Mailing Address
Dr. LATA ROSE STEFANO DDS
1617 W BOGART RD
SANDUSKY, OH 44870-5787
Phone number: 419-626-2205
Copy
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