Fabian David Latocha, D.D.S Valid NPI
Individual provider · Oral and Maxillofacial Surgery (Dentist) · Gurnee, IL
- NPI
- 1033167242
- Type
- Individual (Type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223S0112X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-05-04
- Last updated
- 2007-07-08
Practice location
202 S Greenleaf St, Suite A
Gurnee, IL 60031-3399
(847) 623-2830