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Organization

IVY DENTAL CARE, PLLC

Active
Parent organization
IVY DENTAL CARE, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
IVY DENTAL CARE, PLLC
Authorized official
DR. UZMA HASHEEM DDS (OWNER DENTIST)
(210) 672-3737
Entity
Organization

Contact information

Practice address
7915 W LOOP 1604 N STE 119, SAN ANTONIO, TX 78254-4661
(210) 672-3737
(210) 672-3738
Mailing address
7915 W LOOP 1604 N STE 119, SAN ANTONIO, TX 78254-4661
(210) 672-3737
(210) 672-3738

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31852
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3726879
TX
Enumeration date
11/06/2017
Last updated
11/06/2017
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