Nolan Lathrop, DMD

NPI #1720145741 in Decatur, Illinois

Provider Information

NPI Number: 1720145741
Entity Type: Individual
Name: Nolan Lathrop, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2828 N MAIN ST STE 101
City: Decatur
State: Illinois
ZIP Code: 62526-4281
Phone: (217) 875-1160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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