Doctor Name: | DR. ROBERTO JOAQUIN CABASSA-LATONI |
NPI Number: | 1063483444 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D |
License Number: | 1744 |
Business Practice Address: | Psc 819 Box 220 Fpo, AE - 09645 |
Business Phone Number: | 34-956-823032 |
Business Fax Number: | |
Mailing Address: | Psc 819 Box 220, FPO |
State: | AE |
Postal Code: | 09645 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 1744 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |