Ideal Dental of University Park, Pllc

NPI #1972885291 in Dallas, Texas

Provider Information

NPI Number: 1972885291
Entity Type: Organization
Organization Name: Ideal Dental of University Park, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 8611 HILLCREST AVE
Address 2: SUITE 250
City: Dallas
State: Texas
ZIP Code: 75225-4207
Phone: (214) 361-3550

Authorized Official

Name: CAROL L CANTU
Title: INSURANCE SPECIALIST
Phone: (817) 571-3368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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