Philip Glenn Latham D.D.S.

NPI 1235359944 - Dentist - 1223G0001X

NPI Details
NPI 1235359944
Gender Male
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5070 FOOTHILLS BLVD # 2
ROSEVILLE CA, 95747-6500, US
Phone (916) 781-2611
Fax (916) 781-2760
Business Location
5070 FOOTHILLS BLVD # 2
ROSEVILLE CA, 95747-6500, US
Phone (916) 781-2611
Fax (916) 781-2760
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 35751
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According to our database, Philip Glenn Latham D.D.S. NPI is 1235359944, taxonomy code is 1223G0001X and license number is 35751, license state is located at California. Philip Glenn Latham D.D.S. physically located at 5070 Foothills Blvd # 2, Roseville CA, 95747-6500. NPI Number Philip Glenn Latham D.D.S. has the Individual type.

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1235359944 NPI number is provided on an as is basis without warranty of any kind. 1235359944 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Glenn Latham D.D.S. are for informational purposes only.