IndividualActive
Vincent Lattanzi, PROPHY TECH
NPI 1194375188 · Dental Assistant · Fort Eustis, VA
Provider details
- NPI number
- 1194375188
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- PROPHY TECH
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
576 Fort Eustis Blvd
Fort Eustis, VA 23604
Phone: (757) 314-7925
Approximate (ZIP-level) locationGet directions
Mailing address
577 Sternberg Ave
Fort Eustis, VA 23604-1526
Additional practice locations (1)
- 669 Zmonore AveFort Eustis, VA 23604Phone: (757) 314-8015
Registry dates
- Enumerated
- 2019-09-12
- Last updated
- 2019-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.