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Organization
IDEAL DENTAL OF ALAMO RANCH PLLC
Active
Organization
IDEAL DENTAL OF ALAMO RANCH PLLC
Active
Other names
Ideal Dental of Alamo Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL CANAVA (INSURANCE MANAGER)
(972) 361-0600
Entity
Organization
Contact information
Practice address
12007 ALAMO RANCH PKWY, STE 122, SAN ANTONIO, TX 78253
(210) 504-2953
Mailing address
PO BOX 840925, DALLAS, TX 75284-1438
(972) 331-8079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
01/02/2020
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