Dr. Lata Rose Stefano, DDS
Dentist, General Practice in Sandusky, OH. Individual provider (NPI-1).
NPI number1104842301
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104842301
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lata Rose Stefano
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 20079 | OH | Yes |
Practice location
1617 W Bogart RdSandusky, OH 44870-5787
Phone 419-626-2205 · Fax 419-626-2274
Mailing address
1617 W Bogart RdSandusky, OH 44870-5787
Phone 419-626-2205 · Fax 419-626-2274
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