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Individual
DAVID LATHAM
Active
Individual
DAVID LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
58369
CA
122300000X
Dentist
7480754-9922
UT
122300000X
Dentist
Primary
8462
SC
Other
Enumeration date
06/29/2009
Last updated
01/08/2016
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