De Latour, Elise Marie
De Latour, Elise Marie is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive , Augusta GA 30912-0001. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. De Latour, Elise Marie can be contacted via phone (706) 721-2371.Contact Information
Primary practice address
1430 John Wesley Gilbert Drive
Augusta GA 30912-0001
Phone: (706) 721-2371
Fax: (706) 721-6778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN24440 | Florida |
| Dental Providers / General Practice | 1223G0001X | DNF000450 | Georgia |
Profile Details
| NPI number | 1235511858 |
|---|---|
| LBN Legal business name | De Latour, Elise Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2015 |
| Last updated | Apr 13th, 2023 - about 3 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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