Individual
LATEEFAH TYME WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
2630 S CARRIER PKWY STE A, GRAND PRAIRIE, TX 75052-5000
(917) 846-5216
Mailing address
2630 S CARRIER PKWY STE A, GRAND PRAIRIE, TX 75052-5000
(917) 846-5216
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN013984
GA
Other
Enumeration date
10/27/2009
Last updated
07/16/2013
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