Provider Demographics
NPI:1356798243
Name:VALUDENTAL COMMERCE PLLC
Entity type:Organization
Organization Name:VALUDENTAL COMMERCE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUISH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:210-503-0000
Mailing Address - Street 1:21510 PEARL SPG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-6904
Mailing Address - Country:US
Mailing Address - Phone:210-503-0000
Mailing Address - Fax:281-533-6130
Practice Address - Street 1:4965 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-1508
Practice Address - Country:US
Practice Address - Phone:210-451-0000
Practice Address - Fax:281-503-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX290601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty