Individual
DR. PETER MITCHELL LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 457-3018
(401) 457-3375
Mailing address
115 BOW ST, EAST GREENWICH, RI 02818-2225
(401) 886-4028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN01742
RI
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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