Organization
AUTUMN HEIGHTS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESHA SHAH DDS (OWNER)
(213) 440-2132
Entity
Organization
Contact information
Practice address
7215 N. LOOP 1604 E., UNIT 102, CONVERSE, TX 78109
(210) 890-4909
(210) 890-4809
Mailing address
1311 MULESHOE PASS, SAN ANTONIO, TX 78258-3443
(210) 890-4909
(210) 890-4809
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
04/22/2023
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