Lathe, Amanda
Lathe, Amanda is an individual health care provider with primary practice located at 7155 N Port Washington Rd , Glendale WI 53217-3841. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Lathe, Amanda can be contacted via phone (414) 928-2518.Contact Information
Primary practice address
7155 N Port Washington Rd
Glendale WI 53217-3841
Phone: (414) 928-2518
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1001848-15 | Wisconsin |
Profile Details
| NPI number | 1225521545 |
|---|---|
| LBN Legal business name | Lathe, Amanda |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2018 |
| Last updated | Feb 1st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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