| Ideal Dental Temple Terrace Pllc | |
|
100 Bullard Parkway Temple Terrace FL 33617 | |
| (813) 849-0005 | |
| Not Available |
| Full Name | Ideal Dental Temple Terrace Pllc |
|---|---|
| Speciality | Dentist |
| Location | 100 Bullard Parkway, Temple Terrace, Florida |
| Authorized Official Name and Position | Matthew Doan (OWNER) |
| Authorized Official Contact | 9723610600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Temple Terrace Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Temple Terrace Pllc 100 Bullard Parkway Temple Terrace FL 33617 Ph: (813) 849-0005 |
| NPI Number | 1255094181 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255094181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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