# LIVE OAK ORTHODONTICS PLLC

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

## Provider details

- **NPI number:** 1689463135
- **Authorized official:** DR. MOHAMMED ABDULKAREEM ALJAFF DDS, MSD, ABO (ORTHODONTIST)
- **Authorized official phone:** (619) 365-0206

## Contact information

- **Practice address:** 6826 N LOOP 1604 E STE 102, SAN ANTONIO, TX 78247-5329
- **Practice address phone:** (210) 830-7451
- **Practice address fax:** (210) 830-7452
- **Mailing address:** 6826 N LOOP 1604 E STE 102, SAN ANTONIO, TX 78247-5329
- **Mailing address phone:** (210) 830-7451
- **Mailing address fax:** (210) 830-7452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2025
- **Last updated:** 05/01/2025