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1154682730
GREGORY SCOTT LATUS
MAPLEWOOD, MN
NPI
1154682730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MN D14641)
Additional Taxonomies
122300000X Dentist
(Licence: OH 30.023696)
Enumeration Date
2012-05-31
Last Update Date
2021-12-22
Business Address
Dr. GREGORY SCOTT LATUS DDS
1670 BEAM AVE STE 204
MAPLEWOOD, MN 55109-1227
Phone number: 651-925-8400
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Mailing Address
Dr. GREGORY SCOTT LATUS DDS
6721 MADISON ST NE
FRIDLEY, MN 55432-4450
Phone number: 414-588-7096
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