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Organization
IDEAL DENTAL OF EULESS
Active
Organization
IDEAL DENTAL OF EULESS
Active
Other names
Parkside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL L CANTU (INSURANCE SPECIALIST)
(817) 571-3368
Entity
Organization
Contact information
Practice address
3010 STATE HIGHWAY 121, 300, EULESS, TX 76039-5823
(817) 571-3368
Mailing address
3010 STATE HIGHWAY 121, 300, EULESS, TX 76039-5823
(817) 571-3368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22290
TX
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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