Organization
IDEAL DENTAL ELYSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL CANAVA (VP REVENUE CYCLE)
(972) 331-8079
Entity
Organization
Contact information
Practice address
7022 ELYSON EXCHANGE WAY, STE 300, CYPRESS, TX 77433
(972) 361-0600
Mailing address
12750 MERIT DR STE 1100, DALLAS, TX 75251-1302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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