Individual
JEFFREY T LATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
844 6TH ST, CLARKSTON, WA 99403-2013
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH-1951-ER
ID
124Q00000X
Dental Hygienist
Primary
DH60749768
WA
Other
Enumeration date
03/16/2020
Last updated
04/18/2024
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