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Individual

DR. THAO TRANG NGOC LATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
114 BOYCE LAWTON DR, CAMERON, SC 29030
(803) 823-2100
Mailing address
3100 ASHLEY TOWN CENTER DR, APT 341, CHARLESTON, SC 29414-5682
(864) 906-6179

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8405
SC

Other

Enumeration date
07/10/2014
Last updated
07/10/2014
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