Ideal Dental of Roanoke Pllc

NPI #1306225529 in Roanoke, Texas

Provider Information

NPI Number: 1306225529
Entity Type: Organization
Organization Name: Ideal Dental of Roanoke Pllc
Primary Specialty: Dentist
Enumeration Date: May 20, 2015
Last Updated: Oct 8, 2024

Practice Location

Address: 860 EAST HIGHWAY 114
Address 2: SUITE 200
City: Roanoke
State: Texas
ZIP Code: 76262
Phone: (817) 491-3000

Authorized Official

Name: SHALIN PATEL, DMD
Title: OWNER
Phone: (972) 331-8067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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