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NPI Code Detail

MEDICARE: DR. LEILA ANN SUKI D.D.S

MEDICARE:  DR. LEILA ANN SUKI  D.D.S
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
1332B00000XDurable Medical Equipment & Medical Supplies16020TX
21223G0001XGeneral Practice Dentistry16020TX

General Provider Information

NPI Number : 1053445437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEILA ANN SUKI D.D.S
Provider Business Mailing Address
First Line : 2424 W HOLCOMBE BLVD
Second Line : #202
City : HOUSTON
State : TX
Zip : 77030-1934
Country : US
Telephone Number : 713-664-1004
Fax Number : 713-664-4032
Provider Business Practice Location Address
First Line : 2424 W HOLCOMBE BLVD
Second Line : #202
City : HOUSTON
State : TX
Zip : 77030-1934
Country : US
Telephone Number : 713-664-1004
Fax Number : 713-664-4032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 10/02/2018

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Directions to “ DR. LEILA ANN SUKI D.D.S” Practice Location

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