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1174610059
GARY M LATHAM
SANTA ROSA, CA
NPI
1174610059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 25570)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Dr. GARY M LATHAM DDS
1260 N DUTTON AVE #290
SANTA ROSA, CA 95401-4659
Phone number: 707-527-7400
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Mailing Address
Dr. GARY M LATHAM DDS
1260 N DUTTON AVE #290
SANTA ROSA, CA 95401-4659
Phone number: 707-527-7400
Copy
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