DAVID GEORGE LEIBOLD DDS MD

Surgery Yellow Pages

San Antonio, Texas

Provider NPI: 1245231810

Provider Information:
 DAVID GEORGE LEIBOLD DDS MD


Practice Location:
7703 FLOYD CURL DR  SAN ANTONIO, TX 78229 US
Tel: 210-567-3477  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	1223S0112X	Dental Providers Dentist Oral and Maxillofacial Surgery	TX	9735
N	204E00000X	Physicians Oral & Maxillofacial Surgery	TX	E4478

Other Provider Identifiers:

Issuer	Number	State	Type
	137233611	TX	05
MEDICAL DENTAL	137233610	TX	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin