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Organization
IDEAL DENTAL WEST PROSPER PLLC
Active
Organization
IDEAL DENTAL WEST PROSPER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALIN PATEL SHALIN PATEL DMD (OWNER)
(972) 331-8067
Entity
Organization
Contact information
Practice address
5600 W UNIVERSITY DR, SUITE 30, PROSPER, TX 75078
(972) 331-8067
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
(972) 331-8067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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