IDEAL DENTAL ANTHEM PLLC

ANTHEM, AZ
NPI1962126789
Entity TypeOrganization
Authorized ContactRODNEY ALLES
Owner
972-331-8079
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2022-09-27
Last Update Date2023-10-02
Business Address
IDEAL DENTAL ANTHEM PLLC
39422 N DAISY MOUNTAIN DR
ANTHEM, AZ 85086-6703
Phone number: 623-277-5002
Mailing Address
IDEAL DENTAL ANTHEM PLLC
PO BOX 840925
DALLAS, TX 75284-0925
Phone number: