| Ideal Dental Georgetown | |
|
1431 S Interstate 35 Ste 105 Georgetown TX 78626-5427 | |
| (512) 758-8634 | |
| (512) 462-3233 |
| Full Name | Ideal Dental Georgetown |
|---|---|
| Speciality | Dentist |
| Location | 1431 S Interstate 35 Ste 105, Georgetown, Texas |
| Authorized Official Name and Position | Rodney Alles (OWNER) |
| Authorized Official Contact | 9723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Georgetown Po Box 840925 Dallas TX 75284-0925 Ph: () - | Ideal Dental Georgetown 1431 S Interstate 35 Ste 105 Georgetown TX 78626-5427 Ph: (512) 758-8634 |
| NPI Number | 1427522796 |
|---|---|
| Provider Enumeration Date | 01/19/2019 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427522796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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