| NPI | 1467152496 |
|---|---|
| Doing Business As | IDEAL DENTAL KANNAPOLIS |
| Entity Type | Organization |
| Authorized Contact | RODNEY ALLES Owner 972-331-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-10-04 |