FABIAN DAVID LATOCHA

GURNEE, IL
NPI1033167242
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  019-022774)
Enumeration Date2006-05-04
Last Update Date2007-07-08
Business Address
Dr. FABIAN DAVID LATOCHA D.D.S
202 S GREENLEAF ST SUITE A
GURNEE, IL 60031-3399
Phone number: 847-623-2830
Mailing Address
Dr. FABIAN DAVID LATOCHA D.D.S
13380 W 21ST ST
WADSWORTH, IL 60083-9474
Phone number: 847-746-7517