Organization
IDEAL DENTAL INDIAN LAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DDOAN DDS (OWNER)
(803) 829-0119
Entity
Organization
Contact information
Practice address
2089 PARKWAY DR STE 102, INDIAN LAND, SC 29707-8089
(803) 829-0119
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
(972) 361-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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