| Ideal Dental Of San Marcos Pllc | |
|
200 Springtown Way Ste 108 San Marcos TX 78666-7142 | |
| (512) 717-6053 | |
| (210) 569-7740 |
| Full Name | Ideal Dental Of San Marcos Pllc |
|---|---|
| Speciality | Dentist |
| Location | 200 Springtown Way Ste 108, San Marcos, Texas |
| 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 Of San Marcos Pllc Po Box 840925 Dallas TX 75284-0925 Ph: () - | Ideal Dental Of San Marcos Pllc 200 Springtown Way Ste 108 San Marcos TX 78666-7142 Ph: (512) 717-6053 |
| NPI Number | 1164996849 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164996849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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