| Ideal Dental Of Fort Worth, Pllc | |
|
12584 N Beach St Suite 150 Fort Worth TX 76244-4249 | |
| (817) 337-0021 | |
| Not Available |
| Full Name | Ideal Dental Of Fort Worth, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12584 N Beach St, Fort Worth, Texas |
| Authorized Official Name and Position | Rodney Alles (OWNER) |
| Authorized Official Contact | 8173370021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Of Fort Worth, Pllc 12584 N Beach St Suite 150 Fort Worth TX 76244-4249 Ph: (817) 337-0021 | Ideal Dental Of Fort Worth, Pllc 12584 N Beach St Suite 150 Fort Worth TX 76244-4249 Ph: (817) 337-0021 |
| NPI Number | 1437407392 |
|---|---|
| Provider Enumeration Date | 08/27/2012 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437407392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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