# IDEAL DENTAL OF BULVERDE PLLC

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

## Provider details

- **NPI number:** 1366814279
- **Authorized official:** SULMAN AHMED DMD (CEO)
- **Authorized official phone:** (972) 361-0600

## Contact information

- **Practice address:** 17910 BULVERDE ROAD, SUITE 112, SAN ANTONIO, TX 78259-3622
- **Practice address phone:** (210) 494-4200
- **Mailing address:** 17910 BULVERDE ROAD, SUITE 112, SAN ANTONIO, TX 78259-3622
- **Mailing address phone:** (210) 494-4200

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2015
- **Last updated:** 11/20/2015