Organization
IDEAL DENTAL OF WILDERNESS OAK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULMAN AHMED DMD (CEO)
(972) 361-0600
Entity
Organization
Contact information
Practice address
23522 WILDERNESS OAK STE 107, SAN ANTONIO, TX 78258-2409
(210) 591-0109
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
05/08/2023
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