Organization
IDEAL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR PEREZ (DDS)
(818) 261-2514
Entity
Organization
Contact information
Practice address
1835 S FEDERAL BLVD, DENVER, CO 80219-4953
(720) 336-8251
Mailing address
1835 S FEDERAL BLVD, DENVER, CO 80219-4953
(720) 336-8251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00202682
CO
1223G0001X
General Practice Dentistry
Primary
00202682
CO
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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