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1962126789
IDEAL DENTAL ANTHEM PLLC
ANTHEM, AZ
NPI
1962126789
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Entity Type
Organization
Authorized Contact
RODNEY ALLES
Owner
972-331-8079
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2022-09-27
Last Update Date
2023-10-02
Business Address
IDEAL DENTAL ANTHEM PLLC
39422 N DAISY MOUNTAIN DR
ANTHEM, AZ 85086-6703
Phone number: 623-277-5002
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Mailing Address
IDEAL DENTAL ANTHEM PLLC
PO BOX 840925
DALLAS, TX 75284-0925
Phone number:
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