PHILIP GLENN LATHAM

ROSEVILLE, CA
NPI1235359944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  35751)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
-- PHILIP GLENN LATHAM D.D.S.
5070 FOOTHILLS BLVD # 2
ROSEVILLE, CA 95747-6500
Phone number: 916-781-2611
Mailing Address
-- PHILIP GLENN LATHAM D.D.S.
5070 FOOTHILLS BLVD # 2
ROSEVILLE, CA 95747-6500
Phone number: 916-781-2611
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