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Organization
GEO DENTAL PLLC
Active
Organization
GEO DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOUMAN EBRAHIMI DDS (OWNER)
(210) 538-8206
Entity
Organization
Contact information
Practice address
9819 MARBACH RD STE 103, SAN ANTONIO, TX 78245-1981
(201) 538-8206
Mailing address
9819 MARBACH RD STE 103, SAN ANTONIO, TX 78245-1981
(201) 538-8206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29830
TX
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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