Organization
KLT DENTISTRY PLLC
Active
Other names
Kaci L. Tibbetts
Organization subpart
No
Provider details
NPI number
Authorized official
KACI TIBBETTS DDS (OWNER)
(210) 496-5422
Entity
Organization
Contact information
Practice address
3223 THOUSAND OAKS DR, STE #102, SAN ANTONIO, TX 78247
(210) 496-5422
(210) 490-2388
Mailing address
3223 THOUSAND OAKS DR, STE #102, SAN ANTONIO, TX 78247
(210) 496-5422
(210) 490-2388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12844
TX
122300000X
Dentist
Primary
26455
TX
Other
Enumeration date
10/18/2012
Last updated
06/22/2018
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