| Ideal Dental Erie Pllc | |
|
680 Mitchell Way Unit 170 Erie CO 80516-5452 | |
| (972) 361-0600 | |
| Not Available |
| Full Name | Ideal Dental Erie Pllc |
|---|---|
| Speciality | Dentist |
| Location | 680 Mitchell Way Unit 170, Erie, Colorado |
| Authorized Official Name and Position | Rodney Alles (OWNER) |
| Authorized Official Contact | 9723610600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Erie Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Erie Pllc 680 Mitchell Way Unit 170 Erie CO 80516-5452 Ph: (972) 361-0600 |
| NPI Number | 1841990108 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841990108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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