Individual
CLYDE WILSON LATHROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6945 E SAHUARO DR, SUITE A-2, SCOTTSDALE, AZ 85254-6722
(602) 405-6700
(602) 485-9125
Mailing address
6945 E SAHUARO DR, SUITE A-2, SCOTTSDALE, AZ 85254-6722
(602) 405-6700
(602) 485-9125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1034
AZ
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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