Organization
BRUSH32 DENTAL OF GEORGETOWN PLLC
Active
Other names
Ideal Dental Georgetown
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY ALLES DDS (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
1431 S INTERSTATE 35 STE 105, GEORGETOWN, TX 78626-5427
(512) 758-8634
(512) 462-3233
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/19/2019
Last updated
10/02/2023
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