Individual
DR. LESLEY NICOLE LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2752 GASTON AVE APT 932, DALLAS, TX 75226-2736
(713) 501-6499
Mailing address
6955 FOOTHILL BLVD, OAKLAND, CA 94605-2455
(510) 567-5770
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104848
CA
Other
Enumeration date
06/03/2014
Last updated
11/12/2020
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