| Ideal Dental Of League City Pllc | |
|
2875 E League City Pkwy Suite 800 League City TX 77573-7158 | |
| (832) 905-0210 | |
| Not Available |
| Full Name | Ideal Dental Of League City Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2875 E League City Pkwy, League City, 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 League City Pllc 2875 E League City Pkwy Suite 800 League City TX 77573-7158 Ph: (832) 905-0210 | Ideal Dental Of League City Pllc 2875 E League City Pkwy Suite 800 League City TX 77573-7158 Ph: (832) 905-0210 |
| NPI Number | 1154875896 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154875896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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