| Ideal Dental of Augusta Pines PLLC | |
|
25760 Kuykendahl Suite A Tomball TX 77375 | |
| (281) 712-4705 | |
| Not Available |
| Full Name | Ideal Dental of Augusta Pines PLLC |
|---|---|
| Speciality | Dentist |
| Location | 25760 Kuykendahl, Tomball, Texas |
| Authorized Official Name and Position | Sulman Ahmed (OWNER) |
| Authorized Official Contact | 9723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental of Augusta Pines PLLC Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental of Augusta Pines PLLC 25760 Kuykendahl Suite A Tomball TX 77375 Ph: (281) 712-4705 |
| NPI Number | 1215446885 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215446885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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