| Ideal Dental Wesley Chapel Pllc | |
|
25906 Sierra Center Blvd Lutz FL 33559-7609 | |
| (813) 359-0319 | |
| (813) 946-1679 |
| Full Name | Ideal Dental Wesley Chapel Pllc |
|---|---|
| Speciality | Dentist |
| Location | 25906 Sierra Center Blvd, Lutz, 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 Wesley Chapel Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Wesley Chapel Pllc 25906 Sierra Center Blvd Lutz FL 33559-7609 Ph: (813) 359-0319 |
| NPI Number | 1952067811 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952067811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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