| Ideal Dental Alpharetta Pc | |
|
1155 Bluegrass Ct Ste 5 Alpharetta GA 30004-2489 | |
| (943) 200-0018 | |
| (943) 444-5001 |
| Full Name | Ideal Dental Alpharetta Pc |
|---|---|
| Speciality | Dentist |
| Location | 1155 Bluegrass Ct Ste 5, Alpharetta, Georgia |
| 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 Alpharetta Pc Po Box 840925 Dallas TX 75284-0925 Ph: () - | Ideal Dental Alpharetta Pc 1155 Bluegrass Ct Ste 5 Alpharetta GA 30004-2489 Ph: (943) 200-0018 |
| NPI Number | 1730802679 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730802679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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