Ideal Dental Of League City PLLC
Dentist in League City, TX. Organization (NPI-2).
NPI number1154875896
StatusActive
Last updated in NPPESMar 29, 2017
Details
- NPI
- 1154875896
- Entity type
- Organization (NPI-2)
- Legal business name
- Ideal Dental Of League City PLLC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2016
- Last updated
- Mar 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
2875 E League City PkwySuite 800
League City, TX 77573-7158
Phone 832-905-0210
Mailing address
2875 E League City PkwySuite 800
League City, TX 77573-7158
Phone 832-905-0210
Authorized official
Sulman Ahmed
Ceo
9723610600
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All 31 Dentist providers in League City · All 1,513 providers in League City
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