Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Latrisha Ilas, DDS

Individual provider General Practice Dentistry · NPI 1053084764

Dr. Latrisha Ilas, DDS is a General Practice Dentistry in San Jose, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

1206 N Capitol Ave Ste 101
San Jose, CA 95132-2572
Phone: (408) 928-1450
Fax: (408) 928-1454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2030 Diamond Blvd Ste 25, Concord, CA 94520-5753 — (925) 687-8000

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 106463 (CA)

Record details

NPI number1053084764
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 28, 2021
Last updated in NPPESJuly 28, 2021
Certification dateJuly 26, 2021
Mailing address1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572

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