Organization
LAKE WORTH CENTER DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULMAN AHMED DMD (OWNER)
(972) 361-0600
Entity
Organization
Contact information
Practice address
4601 BOAT CLUB RD, FORT WORTH, TX 76135-7029
(972) 361-0600
Mailing address
4601 BOAT CLUB RD, FORT WORTH, TX 76135-7029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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