Ideal Dental Wesley Chapel Pllc

NPI #1952067811 in Lutz, Florida

Provider Information

NPI Number: 1952067811
Entity Type: Organization
Organization Name: Ideal Dental Wesley Chapel Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 15, 2021
Last Updated: May 16, 2023

Practice Location

Address: 25906 SIERRA CENTER BLVD
City: Lutz
State: Florida
ZIP Code: 33559-7609
Phone: (813) 359-0319

Authorized Official

Name: MATTHEW DOAN, DMD
Title: OWNER
Phone: (972) 331-8079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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