Provider Demographics
NPI:1568711828
Name:MAHMOOD, LAITH (MD DDS)
Entity Type:Individual
Prefix:DR
First Name:LAITH
Middle Name:
Last Name:MAHMOOD
Suffix:
Gender:M
Credentials:MD DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 GESSNER RD
Mailing Address - Street 2:SUITE 690
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2527
Mailing Address - Country:US
Mailing Address - Phone:713-467-5655
Mailing Address - Fax:713-467-9220
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:SUITE 690
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-467-5655
Practice Address - Fax:713-467-9220
Is Sole Proprietor?:No
Enumeration Date:2012-09-02
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX285541223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery