Terry, Dominique Latasha

Terry, Dominique Latasha is an individual health care provider with primary practice located at 2595 Central Avenue Christ Community Health Services Inc, Memphis TN 38104. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Terry, Dominique Latasha can be contacted via phone (901) 260-8551.

Contact Information

Primary practice address
2595 Central Avenue Christ Community Health Services Inc Memphis TN 38104
Phone: (901) 260-8551
Fax: (901) 260-8590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH05369 Tennessee

Profile Details

NPI number 1376866988
LBN Legal business name Terry, Dominique Latasha
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2010
Last updated Mar 10th, 2010 - about 15 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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