Provider Demographics
NPI:1346551108
Name:MATTHES, LELA DANIELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LELA
Middle Name:DANIELLE
Last Name:MATTHES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 LANDA ST STE B
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5439
Mailing Address - Country:US
Mailing Address - Phone:830-327-7007
Mailing Address - Fax:
Practice Address - Street 1:385 LANDA ST STE B
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5439
Practice Address - Country:US
Practice Address - Phone:830-327-7007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-27
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX298461223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry