Latino, Chad J

Latino, Chad J is an individual health care provider with primary practice located at 6701 Sanger Ave Suite 101, Waco TX 76710-7736. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Latino, Chad J can be contacted via phone (254) 776-6241.

Contact Information

Primary practice address
6701 Sanger Ave Suite 101 Waco TX 76710-7736
Phone: (254) 776-6241
Fax: (254) 776-6017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20206 Texas

Profile Details

NPI number 1619196581
LBN Legal business name Latino, Chad J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 22nd, 2013 - about 12 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 1619196581 NPPES
Texas MEDICAID 166291801

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