Organization
EMORY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEN QUTACHI DDS (DENTIST)
(210) 750-1087
Entity
Organization
Contact information
Practice address
2113 W. LOOP 1604 S., SUITE 207, SAN ANTONIO, TX 78245
(210) 750-1087
(210) 750-1083
Mailing address
2113 W. LOOP 1604 S, SUITE 207, SAN ANTONIO, TX 78245
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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