Organization
IDEAL DENTAL POWERS PARK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY ALLES DDS (OWNER)
(072) 331-8079
Entity
Organization
Contact information
Practice address
1420 TERRELL MILL RD SE STE 109, MARIETTA, GA 30067-6155
(470) 338-5354
(470) 646-5101
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
10/02/2023
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