| Ideal Dental Of Road Runner Pllc | |
|
8338 N Loop 1604 W Building 1 Ste 104 San Antonio TX 78249-3481 | |
| (210) 877-9100 | |
| Not Available |
| Full Name | Ideal Dental Of Road Runner Pllc |
|---|---|
| Speciality | Dentist |
| Location | 8338 N Loop 1604 W, San Antonio, Texas |
| Authorized Official Name and Position | Sulman Ahmed (CEO) |
| Authorized Official Contact | 9723610600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Of Road Runner Pllc 8338 N Loop 1604 W Building 1 Ste 104 San Antonio TX 78249-3481 Ph: (210) 877-9100 | Ideal Dental Of Road Runner Pllc 8338 N Loop 1604 W Building 1 Ste 104 San Antonio TX 78249-3481 Ph: (210) 877-9100 |
| NPI Number | 1649634007 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649634007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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