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Elise De Latour, DDS
NPI 1235511858 · on the registry since 2015
Practice
- Address
- 1430 John Wesley Gilbert Drive
Augusta, GA 30912 - Phone
- (706) 721-2371
- Fax
- (706) 721-6778
- Organisation at this address
- Au Dental Associates
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 172
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia