LATONYA WALLER

DETROIT, MI
NPI1265841977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901021345)
Enumeration Date2014-08-06
Last Update Date2014-08-06
Business Address
Dr. LATONYA WALLER DDS
4727 SAINT ANTOINE ST
DETROIT, MI 48201-1461
Phone number: 313-833-7309
Mailing Address
Dr. LATONYA WALLER DDS
76 W ADAMS AVE APT 1604
DETROIT, MI 48226-1667
Phone number: