| Latascus PLLC | |
|
39 Yale Ave Wakefield MA 01880-2308 | |
| (781) 245-5366 | |
| Not Available |
| Full Name | Latascus PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 39 Yale Ave, Wakefield, Massachusetts |
| Authorized Official Name and Position | Edmond Massabni (DENTAL DIRECTOR) |
| Authorized Official Contact | 5084985924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latascus PLLC 21 Main St Ste 201 Milford MA 01757-2637 | Latascus PLLC 39 Yale Ave Wakefield MA 01880-2308 Ph: (781) 245-5366 |
| NPI Number | 1245122480 |
|---|---|
| Provider Enumeration Date | 07/21/2025 |
| Last Update Date | 07/21/2025 |
| Certification Date | 07/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245122480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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