Organization
IDEAL DENTISTRY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON LAMBERT (PRESIDENT)
(602) 569-4933
Entity
Organization
Contact information
Practice address
13360 N 94TH DR STE A, PEORIA, AZ 85381-4837
(623) 933-0777
(623) 933-1464
Mailing address
13360 N 94TH DR STE A, PEORIA, AZ 85381-4837
(623) 933-0777
(623) 933-1464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1564
AZ
1223G0001X
General Practice Dentistry
6922
AZ
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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