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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