Provider Demographics
NPI:1881841153
Name:DELAUGHTER, LATOYA MONEK (DDS)
Entity Type:Individual
Prefix:DR
First Name:LATOYA
Middle Name:MONEK
Last Name:DELAUGHTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2240 WHITES MILL RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-5613
Mailing Address - Country:US
Mailing Address - Phone:615-260-7085
Mailing Address - Fax:
Practice Address - Street 1:1800 MCRAE BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-6706
Practice Address - Country:US
Practice Address - Phone:915-592-4168
Practice Address - Fax:915-591-5014
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL018.0016121223P0221X
TX260691223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry