Provider Demographics
NPI:1790959476
Name:CARHUAMACA LATORRE, ARTURO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:
Last Name:CARHUAMACA LATORRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5875 FISHBURNE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3822
Mailing Address - Country:US
Mailing Address - Phone:408-267-4084
Mailing Address - Fax:
Practice Address - Street 1:22 N WHITE RD STE 40
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-1949
Practice Address - Country:US
Practice Address - Phone:408-254-4402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56111122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist