Autumn Heights Dental Pllc

NPI #1114644226 in Converse, Texas

Provider Information

NPI Number: 1114644226
Entity Type: Organization
Organization Name: Autumn Heights Dental Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 20, 2022
Last Updated: Apr 22, 2023

Practice Location

Address: 7215 N. LOOP 1604 E.
Address 2: UNIT 102
City: Converse
State: Texas
ZIP Code: 78109
Phone: (210) 890-4909

Authorized Official

Name: ESHA SHAH, DDS
Title: OWNER
Phone: (213) 440-2132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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