# IDEAL DENTAL ELYSON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275428872
- **Authorized official:** CAROL CANAVA (VP REVENUE CYCLE)
- **Authorized official phone:** (972) 331-8079

## Contact information

- **Practice address:** 7022 ELYSON EXCHANGE WAY, STE 300, CYPRESS, TX 77433
- **Practice address phone:** (972) 361-0600
- **Mailing address:** 12750 MERIT DR STE 1100, DALLAS, TX 75251-1302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2025
- **Last updated:** 06/12/2025