Provider Demographics
NPI:1972768307
Name:LILIANA MEEKER, DDS, PA
Entity type:Organization
Organization Name:LILIANA MEEKER, DDS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEEKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-494-8022
Mailing Address - Street 1:335 E SONTERRA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4053
Mailing Address - Country:US
Mailing Address - Phone:210-494-8022
Mailing Address - Fax:210-494-8023
Practice Address - Street 1:335 E SONTERRA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4053
Practice Address - Country:US
Practice Address - Phone:210-494-8022
Practice Address - Fax:210-494-8023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22936261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental