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1265841977
LATONYA WALLER
DETROIT, MI
NPI
1265841977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901021345)
Enumeration Date
2014-08-06
Last Update Date
2014-08-06
Business Address
Dr. LATONYA WALLER DDS
4727 SAINT ANTOINE ST
DETROIT, MI 48201-1461
Phone number: 313-833-7309
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Mailing Address
Dr. LATONYA WALLER DDS
76 W ADAMS AVE APT 1604
DETROIT, MI 48226-1667
Phone number:
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