Organization
BRUSH32 DENTAL OF SOUTH LAMAR PLLC
Active
Other names
IDEAL DENTAL SOUTH LAMAR
Organization subpart
No
Provider details
NPI number
Authorized official
SULMAN AHMED DMD (CEO)
(972) 331-8079
Entity
Organization
Contact information
Practice address
2330 S LAMAR BLVD STE 300, AUSTIN, TX 78704-5265
(512) 337-8226
(512) 337-8227
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
(972) 361-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
05/12/2023
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