Provider Demographics
NPI:1629544721
Name:LEILA ANN SUKI DDS PLLC
Entity type:Organization
Organization Name:LEILA ANN SUKI DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SUKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-664-1004
Mailing Address - Street 1:2424 W HOLCOMBE BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1935
Mailing Address - Country:US
Mailing Address - Phone:713-664-1004
Mailing Address - Fax:
Practice Address - Street 1:2424 W HOLCOMBE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1935
Practice Address - Country:US
Practice Address - Phone:713-664-1004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty