Dr. Lesley Nicole Latham, D.D.S.
Dentist, Pediatric Dentistry in Dallas, TX. Individual provider (NPI-1).
NPI number1649683095
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1649683095
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lesley Nicole Latham
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2014
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 104848 | CA | Yes |
Practice location
2752 Gaston Ave Apt 932Dallas, TX 75226-2736
Phone 713-501-6499
Mailing address
6955 Foothill BlvdOakland, CA 94605-2455
Phone 510-567-5770
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