# IDEAL DENTAL BROOKS CITY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003652116
- **Authorized official:** DR. SHALIN PATEL DMD (OWNER)
- **Authorized official phone:** (972) 331-8067

## Contact information

- **Practice address:** 7511 S. NEW BRAUNFELS AVE, STE 105, SAN ANTONIO, TX 78235-1074
- **Practice address phone:** (210) 800-8410
- **Mailing address:** PO BOX 840925 DALLAS, DALLAS, TX 75284-0925
- **Mailing address phone:** (210) 800-8410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2024
- **Last updated:** 10/09/2024