# LATHAM PERIODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467836874
- **Authorized official:** DR. JANG CHOI DMD (DENTIST)
- **Authorized official phone:** (518) 785-1067

## Contact information

- **Practice address:** 815 TROY SCHENECTADY RD, LATHAM, NY 12110-2445
- **Practice address phone:** (518) 785-1067
- **Practice address fax:** (518) 782-9309
- **Mailing address:** 815 TROY SCHENECTADY RD, LATHAM, NY 12110-2445
- **Mailing address phone:** (518) 785-1067
- **Mailing address fax:** (518) 782-9309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 051459 | NY | Yes |

## Other

- **Enumeration date:** 07/15/2015
- **Last updated:** 07/15/2015