| Ideal Dental Of Clearlake Pllc | |
|
3535 Clear Lake City Boulevard Suite 400 Houston TX 77059 | |
| (281) 990-0677 | |
| Not Available |
| Full Name | Ideal Dental Of Clearlake Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3535 Clear Lake City Boulevard, Houston, Texas |
| Authorized Official Name and Position | Sulman Ahmed (CEO) |
| Authorized Official Contact | 2819900677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Of Clearlake Pllc 3535 Clear Lake City Boulevard Suite 400 Houston TX 77059 Ph: (281) 990-0677 | Ideal Dental Of Clearlake Pllc 3535 Clear Lake City Boulevard Suite 400 Houston TX 77059 Ph: (281) 990-0677 |
| NPI Number | 1023482999 |
|---|---|
| Provider Enumeration Date | 11/16/2015 |
| Last Update Date | 08/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023482999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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