Individual provider · Type 1 NPI

Lesley Nicole Latham, DDS

Pediatric Dentistry · Dallas, TX

NPI number 1649683095 Active

Practice location

2752 Gaston Ave Apt 932
Dallas, TX 75226-2736

Mailing address

6955 Foothill Blvd
Oakland, CA 94605-2455

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X104848 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1649683095

Lesley Nicole Latham, DDS's National Provider Identifier is 1649683095, issued on Jun 3, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Dallas, TX. The record was last updated on Nov 12, 2020.