Organization
IDEAL DENTAL CENTURY FARMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY ALLES DDS (OWNER)
(972) 331-8067
Entity
Organization
Contact information
Practice address
4222 CENTURY FARMS TER STE 102, ANTIOCH, TN 37013-8901
(615) 471-5063
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
10/25/2023
Last updated
10/25/2023
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