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Dr. Fabian David Latocha, DDS
Oral and Maxillofacial Surgery (Dentist) in Gurnee, Illinois
NPI 1033167242

Fabian David Latocha is a Oral and Maxillofacial Surgery (Dentist) based in Wadsworth, IL and is specialized in Oral and Maxillofacial Surgery. Fabian David Latocha practices in Gurnee, IL and has the professional credentials of DDS. The NPI Number for Fabian David Latocha is 1033167242 and holds a License No. (Illinois).

The current practice location address for Fabian David Latocha is 202 S Greenleaf St, Gurnee, IL and can be reached out via phone at 847-623-2830 and via fax at 847-623-1534.

Location: 202 S Greenleaf St, Gurnee, IL, 60083-9474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033167242
Provider Name
Fabian David Latocha
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
202 S Greenleaf St, Gurnee, IL, 60083-9474
Phone Number
847-623-2830
Fax Number
847-623-1534
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
202 S Greenleaf St
City
Gurnee
State
Illinois
Zip
60031-3399
Phone Number
847-623-2830
Fax Number
847-623-1534
person
Provider Business Mailing Address Details
Address
202 S Greenleaf St
City
Gurnee
State
Illinois
Zip
60031-3399
Phone Number
847-623-2830
Fax Number
847-623-1534
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
(Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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