| Ideal Dentistry, Pllc | |
|
1099 N Walnut Ave Suite D New Braunfels TX 78130-5322 | |
| (512) 293-5502 | |
| Not Available |
| Full Name | Ideal Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1099 N Walnut Ave, New Braunfels, Texas |
| Authorized Official Name and Position | Daniel Erwin Allen (PRESIDENT) |
| Authorized Official Contact | 5122935502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dentistry, Pllc 1099 N Walnut Ave Suite D New Braunfels TX 78130-5322 Ph: (512) 293-5502 | Ideal Dentistry, Pllc 1099 N Walnut Ave Suite D New Braunfels TX 78130-5322 Ph: (512) 293-5502 |
| NPI Number | 1518371814 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 06/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518371814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28301 (Texas) | Primary |
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