Dr. Habib Ali Rahemtulla, DDS
Dentist, General Practice in San Antonio, TX. Individual provider (NPI-1).
NPI number1073005476
StatusActive
Last updated in NPPESDec 28, 2022
Details
- NPI
- 1073005476
- Entity type
- Individual (NPI-1)
- Name
- Dr. Habib Ali Rahemtulla
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2018
- Certification date
- Dec 28, 2022
- Last updated
- Dec 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 38112 | TX | Yes |
| 122300000X | Dentist | 1001841-15 | WI |
Practice location
2810 Nacogdoches RdSan Antonio, TX 78217-5827
Phone 210-828-9644 · Fax 210-828-9646
Mailing address
2810 Nacogdoches RdSan Antonio, TX 78217-5827
Phone 210-828-9644 · Fax 210-828-9646
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