Provider Demographics
NPI:1760517189
Name:LESNIKOVSKAYA, NATALYA (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATALYA
Middle Name:
Last Name:LESNIKOVSKAYA
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 1:1515 N TOWN EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4157
Mailing Address - Country:US
Mailing Address - Phone:972-686-1955
Mailing Address - Fax:972-686-1955
Practice Address - Street 1:1515 N TOWN EAST BLVD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4157
Practice Address - Country:US
Practice Address - Phone:972-686-1955
Practice Address - Fax:972-686-0926
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA548531223G0001X
TX379501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice