| Kitty Hawk Family Dentistry Pllc | |
|
7875 Kitty Hawk Rd Suit 102 Converse TX 78109 | |
| (210) 830-7464 | |
| (210) 830-7465 |
| Full Name | Kitty Hawk Family Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7875 Kitty Hawk Rd Suit 102, Converse, Texas |
| Authorized Official Name and Position | Esha Shah (OWNER) |
| Authorized Official Contact | 2134402132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitty Hawk Family Dentistry Pllc 9 Trophy Rdg San Antonio TX 78258-7714 Ph: (213) 440-2132 | Kitty Hawk Family Dentistry Pllc 7875 Kitty Hawk Rd Suit 102 Converse TX 78109 Ph: (210) 830-7464 |
| NPI Number | 1265222566 |
|---|---|
| Provider Enumeration Date | 05/09/2025 |
| Last Update Date | 05/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265222566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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