Individual
DR. LATEN EDWARDS BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4351 PECANLAND MALL DR, MONROE, LA 71203-7014
(318) 582-4459
Mailing address
38 LANE RANCH RD, RAYVILLE, LA 71269-6570
(318) 680-1373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6982
LA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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