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Individual

DR. ALLEN STEVENSON LATHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
751 STERLING PKWY, SUITE 100, LINCOLN, CA 95648-8690
(916) 543-2859
(916) 543-2879
Mailing address
751 STERLING PKWY, SUITE 100, LINCOLN, CA 95648-8690
(916) 543-2859
(916) 543-2879

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41448
CA

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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