Healthcare Provider Details

I. General information

NPI: 1760302012
Provider Name (Legal Business Name): LESLI CASTANEDA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 W YOSEMITE AVE
MANTECA CA
95337-5182
US

IV. Provider business mailing address

348 SADDLE HORN DR
PITTSBURG CA
94565-2489
US

V. Phone/Fax

Practice location:
  • Phone: 209-823-9341
  • Fax:
Mailing address:
  • Phone: 925-752-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: