| Ideal Dental Of Colleyville, Pllc | |
|
4712 Colleyville Blvd Suite 110 Colleyville TX 76034 | |
| (817) 428-5111 | |
| Not Available |
| Full Name | Ideal Dental Of Colleyville, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4712 Colleyville Blvd, Colleyville, Texas |
| Authorized Official Name and Position | Sulman Ahmed (OWNER) |
| Authorized Official Contact | 8174285111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Of Colleyville, Pllc 4712 Colleyville Blvd Suite 110 Colleyville TX 76034 Ph: (817) 428-5111 | Ideal Dental Of Colleyville, Pllc 4712 Colleyville Blvd Suite 110 Colleyville TX 76034 Ph: (817) 428-5111 |
| NPI Number | 1356752703 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356752703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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