| NPI | 1881285476 |
|---|---|
| Doing Business As | IDEAL DENTAL - KISSIMMEE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DOAN Owner 972-331-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2023-05-24 |