# IVY DENTAL CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IVY DENTAL CARE, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861905473
- **Legal business name:** IVY DENTAL CARE, PLLC
- **Authorized official:** DR. UZMA HASHEEM DDS (OWNER DENTIST)
- **Authorized official phone:** (210) 672-3737

## Contact information

- **Practice address:** 7915 W LOOP 1604 N STE 119, SAN ANTONIO, TX 78254-4661
- **Practice address phone:** (210) 672-3737
- **Practice address fax:** (210) 672-3738
- **Mailing address:** 7915 W LOOP 1604 N STE 119, SAN ANTONIO, TX 78254-4661
- **Mailing address phone:** (210) 672-3737
- **Mailing address fax:** (210) 672-3738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 31852 | TX | Yes |

## Other

- **Enumeration date:** 11/06/2017
- **Last updated:** 11/06/2017