Individual
DR. AMANDA LATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7155 N PORT WASHINGTON RD, GLENDALE, WI 53217-3841
(414) 928-2518
Mailing address
2783 S DELAWARE AVE, MILWAUKEE, WI 53207-2343
(815) 440-7932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001848-15
WI
Other
Enumeration date
06/11/2018
Last updated
02/01/2022
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