# LOYAL FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003280371
- **Authorized official:** DR. EHSAN JAVIDAN NEJAD DDS (MANAGER)
- **Authorized official phone:** (313) 529-2404

## Contact information

- **Practice address:** 1021 SW 3RD ST, GRAND PRAIRIE, TX 75051-3070
- **Practice address phone:** (972) 264-4791
- **Mailing address:** 301 LAS COLINAS BLVD W, \# 404, IRVING, TX 75039-5477
- **Mailing address phone:** (313) 529-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 27429 | TX | Yes |

## Other

- **Enumeration date:** 11/23/2015
- **Last updated:** 11/23/2015