| NPI | 1619659158 |
|---|---|
| Doing Business As | IDEAL DENTAL MALLARD CREEK |
| Entity Type | Organization |
| Authorized Contact | RODNEY ALLES Owner 972-331-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |