| NPI | 1477068427 |
|---|---|
| Doing Business As | IDEAL DENTAL UNIVERSAL CITY |
| Entity Type | Organization |
| Authorized Contact | ALEX HAMILTON Owner 469-420-5326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-08-01 |