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Contact Information

LATHROP MODERN DENTISTRY, PROF. CORP.
16748 GOLDEN VALLEY PARKWAY
LATHROP, CA95330
 Phone: 209-992-5059
 Fax: 209-992-4998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LATHROP MODERN DENTISTRY, PROF. CORP.

NPI Number 1225977721
LBN Legal business name LATHROP MODERN DENTISTRY, PROF. CORP.
Authorized official PETER PHAM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2026
Last updated 03/27/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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