Individual provider · Type 1 NPI

Latrisha Ilas, DDS

General Practice Dentistry · San Jose, CA

NPI number 1053084764 Active

Practice location

1206 N Capitol Ave Ste 101
San Jose, CA 95132-2572

Fax (408) 928-1454

Other practice locations

  • 2030 Diamond Blvd Ste 25, Concord, CA 94520-5753 · (925) 687-8000

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X106463 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

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About NPI 1053084764

Latrisha Ilas, DDS's National Provider Identifier is 1053084764, issued on Jul 28, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Jose, CA. The record was last updated on Jul 28, 2021.