Provider Demographics
NPI:1972233104
Name:LAURA AGUILAR, DDS, PLLC
Entity Type:Organization
Organization Name:LAURA AGUILAR, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:432-208-8779
Mailing Address - Street 1:5503 RESEARCH DR APT 4105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-5068
Mailing Address - Country:US
Mailing Address - Phone:432-208-8779
Mailing Address - Fax:
Practice Address - Street 1:8131 CALLAGHAN RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4720
Practice Address - Country:US
Practice Address - Phone:210-263-1532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-11
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental