Organization
IDEAL DENTAL ALPHARETTA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY ALLES DDS (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
1155 BLUEGRASS CT STE 5, ALPHARETTA, GA 30004-2489
(943) 200-0018
(943) 444-5001
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
10/02/2023
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