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Organization
IDEAL DENTAL OF FORT WORTH, PLLC
Active
Organization
IDEAL DENTAL OF FORT WORTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY ALLES DDS (OWNER)
(817) 337-0021
Entity
Organization
Contact information
Practice address
12584 N BEACH ST, SUITE 150, FORT WORTH, TX 76244-4249
(817) 337-0021
Mailing address
12584 N BEACH ST, SUITE 150, FORT WORTH, TX 76244-4249
(817) 337-0021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
09/06/2012
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