Ideal Dental West Prosper Pllc

NPI #1316719925 in Prosper, Texas

Provider Information

NPI Number: 1316719925
Entity Type: Organization
Organization Name: Ideal Dental West Prosper Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 26, 2023
Last Updated: Oct 26, 2023

Practice Location

Address: 5600 W UNIVERSITY DR
Address 2: SUITE 30
City: Prosper
State: Texas
ZIP Code: 75078
Phone: (972) 331-8067

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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