Individual
DAVID LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
960 CIPRIANA DR UNIT B6, MYRTLE BEACH, SC 29572-4627
(843) 839-9552
Mailing address
2521 GREAT SCOTT DR, MYRTLE BEACH, SC 29579-3619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
58369
CA
122300000X
Dentist
7480754-9922
UT
122300000X
Dentist
Primary
8462
SC
Other
Enumeration date
06/29/2009
Last updated
01/08/2016
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