| Ideal Dental - Millenia Pllc | |
|
4698 Gardens Park Blvd Ste 203b Orlando FL 32839-2390 | |
| (407) 209-3011 | |
| (407) 783-4969 |
| Full Name | Ideal Dental - Millenia Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4698 Gardens Park Blvd Ste 203b, Orlando, Florida |
| Authorized Official Name and Position | Matthew Doan (OWNER) |
| Authorized Official Contact | 9723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental - Millenia Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental - Millenia Pllc 4698 Gardens Park Blvd Ste 203b Orlando FL 32839-2390 Ph: (407) 209-3011 |
| NPI Number | 1033886064 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033886064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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