| NPI | 1629808266 |
|---|---|
| Doing Business As | IDEAL FAMILY DENTISTRY LLC |
| Entity Type | Organization |
| Authorized Contact | JORGE LOPEZ Practice Manager 804-803-9823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-09 |