Individual
JESSICA MICHELLE LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
217 KENT ST APT 25, BROOKLINE, MA 02446-5426
(509) 714-9002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61086046
WA
122300000X
Dentist
Primary
DN1858880
MA
Other
Enumeration date
12/17/2020
Last updated
08/18/2021
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