Klt Dentistry Pllc
NPI #1093068744 in San Antonio, Texas
Provider Information
- NPI Number
- 1093068744
- Entity Type
- Organization
- Organization Name
- Klt Dentistry Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Oct 18, 2012
- Last Updated
- Jun 22, 2018
Practice Location
- Address
- 3223 THOUSAND OAKS DR
- Address 2
- STE #102
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78247
- Phone
- (210) 496-5422
Authorized Official
- Name
- KACI TIBBETTS, DDS
- Title
- OWNER
- Phone
- (210) 496-5422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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