Organization
LAUREL DENTAL TX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIISHA CHOUCAIR DMD (MANAGING MEMBER)
(512) 900-1720
Entity
Organization
Contact information
Practice address
10824 E CRYSTAL FALLS PKWY # 303, LEANDER, TX 78641-4300
(801) 598-9676
Mailing address
10824 E CRYSTAL FALLS PKWY # 303, LEANDER, TX 78641-4300
(512) 900-1720
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
11/03/2020
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