Foothill Dental Practice
NPI #1417176058 in Roseville, California
Provider Information
- NPI Number
- 1417176058
- Entity Type
- Organization
- Organization Name
- Foothill Dental Practice
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5070 FOOTHILLS BLVD STE 2
- City
- Roseville
- State
- California
- ZIP Code
- 95747-6500
- Phone
- (916) 781-2611
Authorized Official
- Name
- DR. ALLEN STEVENSON LATHAM, D.D.S.
- Title
- PARTNER
- Phone
- (916) 781-2611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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