Organization
AIM ARIA PPLC
Active
Other names
Aria Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA IQBAL DDS (OWNER)
(210) 681-4867
Entity
Organization
Contact information
Practice address
5983 BANDERA RD, SAN ANTONIO, TX 78238-1822
(210) 681-4867
Mailing address
5983 BANDERA RD, SAN ANTONIO, TX 78238-1822
(210) 681-4867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356870513
PPO
TX
05
—
1356870513
—
TX
Enumeration date
06/02/2021
Last updated
06/02/2021
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