| Ideal Dental Of Alamo Ranch | |
|
12007 Alamo Ranch Pkwy, Ste 122 San Antonio TX 78253 | |
| (210) 504-2953 | |
| Not Available |
| Full Name | Ideal Dental Of Alamo Ranch |
|---|---|
| Speciality | Dentist |
| Location | 12007 Alamo Ranch Pkwy, Ste 122, San Antonio, Texas |
| Authorized Official Name and Position | Carol Canava (INSURANCE MANAGER) |
| Authorized Official Contact | 9723610600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Of Alamo Ranch Po Box 840925 Dallas TX 75284-1438 Ph: (972) 331-8079 | Ideal Dental Of Alamo Ranch 12007 Alamo Ranch Pkwy, Ste 122 San Antonio TX 78253 Ph: (210) 504-2953 |
| NPI Number | 1114411089 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114411089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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