| Ideal Dental Powers Park Pc | |
|
1420 Terrell Mill Rd Se Ste 109 Marietta GA 30067-6155 | |
| (470) 338-5354 | |
| (470) 646-5101 |
| Full Name | Ideal Dental Powers Park Pc |
|---|---|
| Speciality | Dentist |
| Location | 1420 Terrell Mill Rd Se Ste 109, Marietta, Georgia |
| Authorized Official Name and Position | Rodney Alles (OWNER) |
| Authorized Official Contact | 0723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Powers Park Pc Po Box 840925 Dallas TX 75284-0925 Ph: () - | Ideal Dental Powers Park Pc 1420 Terrell Mill Rd Se Ste 109 Marietta GA 30067-6155 Ph: (470) 338-5354 |
| NPI Number | 1184366023 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184366023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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