Wednesday, August 10, 2022

JILL A. LATHAM , MD in TOLEDO – NPI – 1225023674

JILL A. LATHAM , MD in TOLEDO - NPI - 1225023674

JILL A. LATHAM is a dentist based out of TOLEDO,Ohio JILL practices in TOLEDO,Ohio and has the professional credentials of MD .The NPI Number for JILL A. LATHAM is 1225023674 and he holds a Licence No. 35049283(Ohio).

JILL current practice location address is 2200 JEFFERSON AVE,4TH FLOOR,TOLEDO,Ohio and he can be reached out via phone at 4194071422 and via fax at. You can also correspond with JILL A. LATHAM through mail at his mailing address at3404 W SYLVANIA AVE,,TOLEDO,Ohio – 436234467 (mailing address contact number – 436241120).

Provider Profile Details

Credential
NPI Number 1225023674
Provider Name JILL A. LATHAM
MD
Gender 39271
Provider Entity Type Individual
Provider Enumeration Date 207P00000X
Last Update Date 38608

Provider Business Mailing Address Details

Address 2200 JEFFERSON AVE,4TH FLOOR
City TOLEDO
State Ohio
Zip 436241120
Phone Number 4192512673

Provider Business Practice Location Address Details

Address 3404 W SYLVANIA AVE,
City TOLEDO
State Ohio
Zip 436234467
Phone Number 4194071422

Provider's Primary Taxonomy Details

Taxonomy 207P00000X
License No. 35049283
State Ohio

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