DR. Jason David Latham, D.M.D.

NPI #1982036471 in Redmond, Washington

Provider Information

NPI Number: 1982036471
Entity Type: Individual
Name: DR. Jason David Latham, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Aug 6, 2013
Last Updated: Aug 6, 2013

Practice Location

Address: 15640 REDMOND WAY
City: Redmond
State: Washington
ZIP Code: 98052-3831
Phone: (425) 224-7592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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