Dr. Latonya Waller DDS
General Practice Dentistry in Detroit, MI(View on Map)
Full Name
Dr. Latonya Waller DDS
NPI Number
1265841977
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/06/2014
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
2901021345
Contact
Information
Purpose
Mailing
Location
Address
76 W ADAMS AVE APT 1604
4727 SAINT ANTOINE ST
City
Detroit
Detroit
State
MI
MI
Postal Code
48226-1667
48201-1461
Country
US
US
Telephone Number
N/A
(313) 833-7309
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/06/2014