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Mr. David A Lattanzi, DDS
Oral and Maxillofacial Surgery (Dentist) in Clarksburg, West Virginia
NPI 1265511091

David A Lattanzi is a Oral and Maxillofacial Surgery (Dentist) based in Clarksburg, WV and is specialized in Oral and Maxillofacial Surgery. David A Lattanzi practices in Clarksburg, WV and has the professional credentials of DDS. The NPI Number for David A Lattanzi is 1265511091 and holds a License No. 2692 (West Virginia).

The current practice location address for David A Lattanzi is 700 West Pike Street, Clarksburg, WV and can be reached out via phone at 304-622-4828 and via fax at 304-624-0977. You can also correspond with David A Lattanzi through the mailing address at 700 WEST PIKE STREET, CLARKSBURG, WV - 26301 (mailing address contact number: 304-622-4828).

Location: 700 West Pike Street, Clarksburg, WV, 26301
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Provider Profile Details
NPI Number
1265511091
Provider Name
David A Lattanzi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
700 West Pike Street, Clarksburg, WV, 26301
Phone Number
304-622-4828
Fax Number
304-624-0977
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0138397000 05 WV
institution
Provider Business Practice Location Address Details
Address
700 West Pike Street
City
State
Zip
26301
Phone Number
304-622-4828
Fax Number
304-624-0977
person
Provider Business Mailing Address Details
Address
700 West Pike Street
City
State
Zip
26301
Phone Number
304-622-4828
Fax Number
304-624-0977
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2692 (West Virginia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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