Ideal Dental of Grand Prairie PLLC
Ideal Dental of Grand Prairie PLLC provides Dentist services in Grand Prairie, Texas. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3450 S Hwy 161 Ste 200Grand Prairie, TX 75052-1438
Phone: (972) 820-7214
Fax: (972) 739-2400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1528569019 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rodney Alles — Owner · (972) 331-8079 |
| NPI enumerated | February 21, 2018 |
| Last updated in NPPES | May 19, 2023 |
| Certification date | May 19, 2023 |
| Mailing address | Po Box 840925, Dallas, TX 75284-0925 |
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Lucila Hinojosa, DDS
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Lynn Keniston, DMD
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Kenpan Hu DMD PA
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Dr. Behrooz Khademazad, DDS
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