Ideal Option, Pllc
Clinic/Center in Waldorf, MD(View on Map)
Legal Business Name
Ideal Option, Pllc
NPI Number
1588182901
NPI Type
Organization
Enumeration Date
09/06/2017
Specialties
(Taxonomies)Licenses
State
Maryland
License Number
Z17470360
Contact
Information
Purpose
Mailing
Location
Address
8656 W GAGE BLVD
11355 PEMBROOKE SQ STE 108
City
Kennewick
Waldorf
State
WA
MD
Postal Code
99336-7145
20603-4805
Country
US
US
Telephone Number
(509) 222-1275
(877) 522-1275
Authorized Official
Name
Brian Dawson
Title or Position
CMO
Telephone Number
(509) 222-1275
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/30/2023
Provider Address
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