Provider Demographics
NPI:1366582017
Name:LATT, HLA MAY (DDS)
Entity type:Individual
Prefix:MRS
First Name:HLA
Middle Name:MAY
Last Name:LATT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:883 S ATLANTIC BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-4725
Mailing Address - Country:US
Mailing Address - Phone:626-284-4200
Mailing Address - Fax:626-284-4700
Practice Address - Street 1:883 S ATLANTIC BLVD STE C
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4725
Practice Address - Country:US
Practice Address - Phone:626-284-4200
Practice Address - Fax:626-284-4700
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49572122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist