DR. Fabian David Latocha, D.D.S

NPI #1033167242 in Gurnee, Illinois

Provider Information

NPI Number
1033167242
Entity Type
Individual
Name
DR. Fabian David Latocha, D.D.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.D.S
Enumeration Date
May 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
202 S GREENLEAF ST
Address 2
SUITE A
City
Gurnee
ZIP Code
60031-3399
Phone
(847) 623-2830

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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