| NPI | 1992102271 |
|---|---|
| Doing Business As | IDEAL DENTAL AMARILLO SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | SULMAN AHMED Owner 972-331-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21936) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 25874) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2023-05-26 |