Organization
IDEAL DENTAL JOHNS CREEK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY ALLES DDS (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
5855 STATE BRIDGE RD, STE 300, JOHNS CREEK, GA 30097
(470) 338-5356
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
(972) 361-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
10/04/2023
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