Fabian David Latocha D.D.S

NPI 1033167242 - Dentist - 1223S0112X

NPI Details
NPI 1033167242
Gender Male
Enumeration Date 05/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
202 S GREENLEAF ST
SUITE A
GURNEE IL, 60031-3399, US
Phone (847) 623-2830
Fax (847) 623-1534
Business Location
13380 W 21ST ST
WADSWORTH IL, 60083-9474, US
Phone (847) 746-7517
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
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According to our database, Dr. Fabian David Latocha D.D.S NPI is 1033167242, taxonomy code is 1223S0112X Fabian David Latocha D.D.S physically located at 202 S Greenleaf St, Gurnee IL, 60031-3399. NPI Number Fabian David Latocha D.D.S has the Individual type.

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1033167242 NPI number is provided on an as is basis without warranty of any kind. 1033167242 is maintained by the National Plan & Provider Enumeration System. The contents of Fabian David Latocha D.D.S are for informational purposes only.