| Ideal Dental Anthem Pllc | |
|
39422 N Daisy Mountain Dr Anthem AZ 85086-6703 | |
| (623) 277-5002 | |
| (623) 887-8930 |
| Full Name | Ideal Dental Anthem Pllc |
|---|---|
| Speciality | Dentist |
| Location | 39422 N Daisy Mountain Dr, Anthem, Arizona |
| Authorized Official Name and Position | Rodney Alles (OWNER) |
| Authorized Official Contact | 9723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Anthem Pllc Po Box 840925 Dallas TX 75284-0925 Ph: () - | Ideal Dental Anthem Pllc 39422 N Daisy Mountain Dr Anthem AZ 85086-6703 Ph: (623) 277-5002 |
| NPI Number | 1962126789 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962126789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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