Organization
VILLAGE PARK FAMILY DENTAL LLC
Active
Other names
Village Park Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SABA AHMED DDS (DOCTOR)
(218) 336-1131
Entity
Organization
Contact information
Practice address
12617 LOUETTA RD STE 204, CYPRESS, TX 77429-5212
(281) 336-1131
(888) 433-8848
Mailing address
12617 LOUETTA RD STE 204, CYPRESS, TX 77429-5212
(281) 336-1131
(888) 433-8848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
23508
TX
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23508
LICENSE NUMBER
TX
Enumeration date
05/19/2015
Last updated
06/25/2015
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