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Individual
DR. NATHAN JAMES LATIMER
Active
Individual
DR. NATHAN JAMES LATIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
57260
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1855054
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
262350
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A126769
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/03/2008
Last updated
03/16/2016
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