Ideal Dental of Waterside Pllc

NPI #1629580394 in Ft Worth, Texas

Provider Information

NPI Number: 1629580394
Entity Type: Organization
Organization Name: Ideal Dental of Waterside Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 2, 2017
Last Updated: May 12, 2023

Practice Location

Address: 5925 CONVAIR DR STE F505
City: Ft Worth
State: Texas
ZIP Code: 76109-1275
Phone: (817) 778-0418

Authorized Official

Name: SULMAN AHMED, DMD
Title: CEO
Phone: (972) 331-8079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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