Individual
TEMPESTT S LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
158 PEARL AVE, HAMDEN, CT 06514
(475) 227-7322
Mailing address
158 PEARL AVE, HAMDEN, CT 06514-3919
(475) 227-7322
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8433
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008074686
—
CT
Enumeration date
10/05/2016
Last updated
07/13/2018
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