# BAYLOR DENTAL PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245564236
- **Authorized official:** DR. AMIR D HOSSEINI DDS (PRESIDENT)
- **Authorized official phone:** (210) 614-4700

## Contact information

- **Practice address:** 3901 DIADEM LN, SAN ANTONIO, TX 78219-1355
- **Practice address phone:** (210) 661-8541
- **Mailing address:** 3901 DIADEM LN, SAN ANTONIO, TX 78219-1355
- **Mailing address phone:** (210) 661-8541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20527 | TX | — |
| 122300000X | Dentist | 22281 | TX | Yes |

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 09/24/2009