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
| 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 |