Liquid Dental, Pllc

NPI #1811325970 in San Juan, Texas

Provider Information

NPI Number: 1811325970
Entity Type: Organization
Organization Name: Liquid Dental, Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 28, 2013
Last Updated: Oct 28, 2013

Practice Location

Address: 105 SOUTH CESAR CHAVEZ ROAD
Address 2: SUITE #2
City: San Juan
State: Texas
ZIP Code: 78589
Phone: (956) 380-2482

Authorized Official

Name: SHAHROUZ AKHAVAN, D.D.S.
Title: OWNER
Phone: (956) 380-2482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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