Lateefah Tyme Washington, DMD, MS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Grand Prairie, TX

NPI

1265768154

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

DN013984 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2009-10-27

Last updated

2013-07-16