Ideal Dental of Alamo Ranch Pllc
NPI #1114411089 in San Antonio, Texas
Provider Information
- NPI Number
- 1114411089
- Entity Type
- Organization
- Organization Name
- Ideal Dental of Alamo Ranch Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 14, 2018
- Last Updated
- Jan 2, 2020
Practice Location
- Address
- 12007 ALAMO RANCH PKWY, STE 122
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78253
- Phone
- (210) 504-2953
Authorized Official
- Name
- CAROL CANAVA
- Title
- INSURANCE MANAGER
- Phone
- (972) 361-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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