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Dr. Latrisha Ilas, DDS
General Practice Dentistry in San Jose, California
NPI 1053084764

Latrisha Ilas is a General Practice Dentistry based in San Jose, CA and is specialized in General Practice. Latrisha Ilas practices in San Jose, CA and has the professional credentials of DDS. The NPI Number for Latrisha Ilas is 1053084764 and holds a License No. 106463 (California).

The current practice location address for Latrisha Ilas is 1206 N Capitol Ave Ste 101, San Jose, CA and can be reached out via phone at 408-928-1450 and via fax at 408-928-1454.

Location: 1206 N Capitol Ave Ste 101, San Jose, CA, 95132-2572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053084764
Provider Name
Latrisha Ilas
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1206 N Capitol Ave Ste 101, San Jose, CA, 95132-2572
Phone Number
408-928-1450
Fax Number
408-928-1454
Provider Enumeration Date
07/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1206 N Capitol Ave Ste 101
City
San Jose
State
California
Zip
95132-2572
Phone Number
408-928-1450
Fax Number
408-928-1454
person
Provider Business Mailing Address Details
Address
1206 N Capitol Ave Ste 101
City
San Jose
State
California
Zip
95132-2572
Phone Number
408-928-1450
Fax Number
408-928-1454
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
106463 (California)
Definition
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.
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