Laith Family Dentristry
Dentist, General Practice in San Antonio, TX. Organization (NPI-2).
NPI number1518237189
StatusActive
Last updated in NPPESJan 12, 2012
Details
- NPI
- 1518237189
- Entity type
- Organization (NPI-2)
- Legal business name
- Laith Family Dentristry
- Organization subpart
- No
- Enumeration date
- Jan 12, 2012
- Last updated
- Jan 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 25079 | TX | Yes |
Practice location
10865 Shaenfield RdSuite 1108
San Antonio, TX 78254-9601
Phone 210-782-6842 · Fax 210-310-3475
Mailing address
10865 Shaenfield RdSuite 1108
San Antonio, TX 78254-9601
Phone 210-782-6842 · Fax 210-310-3475
Authorized official
Racha W Khireiwish
General Dentist/Owner
2107826842
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