| Ideal Dental Universal City | |
|
520 Kitty Hawk Dr Universal City TX 78148 | |
| (210) 446-1498 | |
| (210) 446-1499 |
| Full Name | Ideal Dental Universal City |
|---|---|
| Speciality | Dentist |
| Location | 520 Kitty Hawk Dr, Universal City, Texas |
| Authorized Official Name and Position | Alex Hamilton (OWNER) |
| Authorized Official Contact | 4694205326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Universal City Po Box 840925 Dallas TX 75284-0925 Ph: (214) 757-4500 | Ideal Dental Universal City 520 Kitty Hawk Dr Universal City TX 78148 Ph: (210) 446-1498 |
| NPI Number | 1477068427 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477068427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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