NPI 1194375188
Vincent Nevin Lattanzi, PROPHYTECH
Practice location
- Address
- 576 Fort Eustis Blvd, Fort Eustis, VA 23604
- Phone
- (757) 314-7925
- Mailing address
- 577 Sternberg Ave, Fort Eustis, VA 23604-1526
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1194375188
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Sep 2019
- Record last updated
- 12 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.