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NPI Code Detail

MEDICARE: IDEAL DENTAL OF ARLINGTON

MEDICARE: IDEAL DENTAL OF ARLINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1922405273
Entity Type Code : Organization
Provider Name (Legal Business Name) : IDEAL DENTAL OF ARLINGTON
Provider Business Mailing Address
First Line : 2150 E LAMAR BLVD
Second Line : 106
City : ARLINGTON
State : TX
Zip : 76006-7408
Country : US
Telephone Number : 817-274-9999
Fax Number :
Provider Business Practice Location Address
First Line : 2150 E LAMAR BLVD
Second Line : 106
City : ARLINGTON
State : TX
Zip : 76006-7408
Country : US
Telephone Number : 817-274-9999
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : SULMAN AHMED
Credential : DMD
Telephone Number : 972-361-0600
Provider Enumeration Date : 12/02/2014
Last Update Date : 01/27/2016

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Directions to “IDEAL DENTAL OF ARLINGTON ” Practice Location

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