| Ideal Dental Riverview PLLC | |
|
10451 Stelling Dr Riverview FL 33578 | |
| (813) 359-1739 | |
| (813) 807-3765 |
| Full Name | Ideal Dental Riverview PLLC |
|---|---|
| Speciality | Dentist |
| Location | 10451 Stelling Dr, Riverview, Florida |
| Authorized Official Name and Position | Matthew Doan (OWNER) |
| Authorized Official Contact | 9723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Riverview PLLC Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Riverview PLLC 10451 Stelling Dr Riverview FL 33578 Ph: (813) 359-1739 |
| NPI Number | 1477225043 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 10/02/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477225043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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