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Dr. Latonya Waller, DDS
General Practice Dentistry in Detroit, Michigan
NPI 1265841977

Latonya Waller is a General Practice Dentistry based in Detroit, MI and is specialized in General Practice. Latonya Waller practices in Detroit, MI and has the professional credentials of DDS. The NPI Number for Latonya Waller is 1265841977 and holds a License No. 2901021345 (Michigan).

The current practice location address for Latonya Waller is 4727 Saint Antoine St, Detroit, MI and can be reached out via phone at 313-833-7309.

Location: 4727 Saint Antoine St, Detroit, MI, 48226-1667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265841977
Provider Name
Latonya Waller
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4727 Saint Antoine St, Detroit, MI, 48226-1667
Phone Number
313-833-7309
Fax Number
Provider Enumeration Date
08/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4727 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-1461
Phone Number
313-833-7309
Fax Number
person
Provider Business Mailing Address Details
Address
4727 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-1461
Phone Number
313-833-7309
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901021345 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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