Organization
IDEAL DENTAL OF ROANOKE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALIN PATEL DMD (OWNER)
(972) 331-8067
Entity
Organization
Contact information
Practice address
860 EAST HIGHWAY 114, SUITE 200, ROANOKE, TX 76262
(817) 491-3000
Mailing address
860 EAST HIGHWAY 114, SUITE 200, ROANOKE, TX 76262
(817) 491-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
10/08/2024
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