Ideal Dental West Prosper Pllc | |
5600 W University Dr Suite 30 Prosper TX 75078 | |
(972) 331-8067 | |
Not Available |
Full Name | Ideal Dental West Prosper Pllc |
---|---|
Speciality | Dentist |
Location | 5600 W University Dr, Prosper, Texas |
Authorized Official Name and Position | Shalin Patel Shalin Patel (OWNER) |
Authorized Official Contact | 9723318067 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ideal Dental West Prosper Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 331-8067 | Ideal Dental West Prosper Pllc 5600 W University Dr Suite 30 Prosper TX 75078 Ph: (972) 331-8067 |
NPI Number | 1316719925 |
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Provider Enumeration Date | 10/26/2023 |
Last Update Date | 10/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316719925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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