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1194375188
VINCENT NEVIN LATTANZI
FORT EUSTIS, VA
NPI
1194375188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2019-09-12
Last Update Date
2019-09-12
Business Address
VINCENT NEVIN LATTANZI Prophy Tech
576 FORT EUSTIS BLVD
FORT EUSTIS, VA 23604
Phone number: 757-314-7925
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Mailing Address
VINCENT NEVIN LATTANZI Prophy Tech
577 STERNBERG AVE
FORT EUSTIS, VA 23604-1526
Phone number: 757-314-7799
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