Dent, Latosha

Dent, Latosha is an sole proprietor health care provider with primary practice located at 1812 W Burbank Blvd # 5300 , Burbank CA 91506-1315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dent, Latosha can be contacted via phone (206) 430-8118.

Contact Information

Primary practice address
1812 W Burbank Blvd # 5300 Burbank CA 91506-1315
Phone: (206) 430-8118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60903459 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95010715 California

Profile Details

NPI number 1578033593
LBN Legal business name Dent, Latosha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2018
Last updated Jul 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578033593 NPPES
California MEDICAID 5966342

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