Organization
IDEAL DENTAL DECATUR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY ALLES DDS (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
175 N ARCADIA AVENUE, STE 151, DECATUR, GA 30030
(470) 338-5352
(470) 980-0052
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
05/16/2023
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