NPI 1003652116
Ideal Dental Brooks City PLLC
Practice location
- Address
- 7511 S. New Braunfels Ave STE 105, San Antonio, TX 78235-1074
- Phone
- (210) 800-8410
- Mailing address
- PO Box 840925 Dallas, Dallas, TX 75284-0925
Authorised official
- Name
- Shalin Patel
- Title
- Owner
- Phone
- (972) 331-8067
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1003652116
- Entity type
- Organization
- NPI issued
- 8 Jul 2024
- Record last updated
- 9 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.