| Ideal Dental Indian Land Pc | |
|
2089 Parkway Dr Ste 102 Indian Land SC 29707-8089 | |
| (803) 829-0119 | |
| Not Available |
| Full Name | Ideal Dental Indian Land Pc |
|---|---|
| Speciality | Dentist |
| Location | 2089 Parkway Dr Ste 102, Indian Land, South Carolina |
| Authorized Official Name and Position | Matthew Ddoan (OWNER) |
| Authorized Official Contact | 8038290119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Indian Land Pc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Indian Land Pc 2089 Parkway Dr Ste 102 Indian Land SC 29707-8089 Ph: (803) 829-0119 |
| NPI Number | 1629873898 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629873898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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