Ideal Dental of Clearlake Pllc

NPI #1023482999 in Houston, Texas

Provider Information

NPI Number: 1023482999
Entity Type: Organization
Organization Name: Ideal Dental of Clearlake Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 16, 2015
Last Updated: Aug 20, 2016

Practice Location

Address: 3535 CLEAR LAKE CITY BOULEVARD
Address 2: SUITE 400
City: Houston
State: Texas
ZIP Code: 77059
Phone: (281) 990-0677

Authorized Official

Name: SULMAN AHMED, DMD
Title: CEO
Phone: (281) 990-0677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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