Organization
CRYSTAL CLEAR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI M. IBRAHIM DDS (DENTIST)
(210) 900-4400
Entity
Organization
Contact information
Practice address
5507 E EVANS RD STE 105106, SAN ANTONIO, TX 78261-2023
(210) 900-4400
(210) 964-2260
Mailing address
5507 E EVANS RD STE 105106, SAN ANTONIO, TX 78261-2023
(210) 900-4400
(210) 964-2260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
09/12/2025
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