# LAITH FAMILY DENTISTRY CENTRAL

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

## Provider details

- **NPI number:** 1811411937
- **Authorized official:** DR. RACHA KADAMANI (DDS/OWNER)
- **Authorized official phone:** (210) 782-0008

## Contact information

- **Practice address:** 3131 NACOGDOCHES RD STE 103, SAN ANTONIO, TX 78217-3335
- **Practice address phone:** (210) 782-0008
- **Mailing address:** PO BOX 1735, HELOTES, TX 78023-1735
- **Mailing address phone:** (210) 782-0008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 25079 | TX | Yes |

## Other

- **Enumeration date:** 07/31/2017
- **Last updated:** 07/31/2017