Type 1 individualNPI 1669456364
LATASHA VICK DDS
1223G0001X · BAXTER SPRINGS, KS
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 1223G0001X | 1223G0001X | Primary |
| 363A00000X | 363A00000X | Additional |
| 363AM0700X | 363AM0700X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s