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1255601001
MARK ANDREW LATTA
OMAHA, NE
NPI
1255601001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE NE-6013)
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
Dr. MARK ANDREW LATTA DMD, MS
2500 CALIFORNIA PLZ
OMAHA, NE 68178-0133
Phone number: 402-578-5156
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Mailing Address
Dr. MARK ANDREW LATTA DMD, MS
2500 CALIFORNIA PLZ
OMAHA, NE 68178-0133
Phone number: 402-578-5156
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