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Organization
TLG DENTAL GROUP
Active
Organization
TLG DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAOUFIK FADDOUL DDS (DENTIST)
(661) 808-0181
Entity
Organization
Contact information
Practice address
3293 WURZBACH RD # 103, SAN ANTONIO, TX 78238-4002
(661) 808-0181
Mailing address
430 PUEBLO PINTADO, HELOTES, TX 78023-4725
(661) 808-0181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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