Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY M LATHAM, DDS
Active Sole ProprietorDR. GARY M LATHAM, DDS is a Dentist healthcare provider located in SANTA ROSA, California. NPI 1174610059 is currently active in the NPPES registry. Verify at CMS.
Dentist · SANTA ROSA, CA
Registration Details
- NPI Number
- 1174610059
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2006 (19.798507542043 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25570 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1260 N DUTTON AVE#290SANTA ROSA, CA, 954014659Browse CA providers · Browse ZIP 95401
- Phone
- 7075277400
- Fax
- 7075277427
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| NICOLE N LE | DDS | 1629059837 |
| DR. STANLEY LEONG QUOCK | DDS | 1487617676 |
| DR. ALEXANDRE PINHEIRO FRADE | D.D.S. | 1457317869 |
| DR. LUIS M DIAZ | DDS INC | 1821107624 |
| DR. EDWIN LEONARD DEGOLIA | D.D.S. | 1508976325 |
| DR. LINNEA JOANNE WESTERBERG | DDS | 1376637520 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.