Ideal Dental of Southlake, Pllc

NPI #1245671742 in Southlake, Texas

Provider Information

NPI Number
1245671742
Entity Type
Organization
Organization Name
Ideal Dental of Southlake, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 12, 2013
Last Updated
Jul 12, 2013

Practice Location

Address
2645 E SOUTHLAKE BLVD
Address 2
SUITE 150
State
Texas
ZIP Code
76092
Phone
(817) 734-9445

Authorized Official

Name
DR. RODNEY ALLES, DDS
Title
CO-OWNER
Phone
(972) 361-0600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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