MEDICARE: TERRELL HILLS DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1841837598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERRELL HILLS DENTAL

Provider Business Mailing Address
First Line	:	2311 HARRY WURZBACH RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-5543
Country	:	US
Telephone Number	:	210-824-3531
Fax Number	:	210-824-0068

Provider Business Practice Location Address
First Line	:	2311 HARRY WURZBACH RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-5543
Country	:	US
Telephone Number	:	210-824-3531
Fax Number	:	210-824-0068

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HUMAM AL NAJJAR
Credential	:	DDS
Telephone Number	:	210-824-3531

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	12/02/2019

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Directions to “TERRELL HILLS DENTAL ” Practice Location

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