| NPI | 1114411089 |
|---|---|
| Doing Business As | IDEAL DENTAL OF ALAMO RANCH |
| Entity Type | Organization |
| Authorized Contact | CAROL CANAVA Insurance Manager 972-361-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2020-01-02 |