# FLOSS

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

## Provider details

- **NPI number:** 1265284095
- **Authorized official:** ALI FIAZ (OWNER)
- **Authorized official phone:** (630) 849-5663

## Contact information

- **Practice address:** 5618 LEMMON AVE, DALLAS, TX 75209
- **Practice address phone:** (214) 429-3244
- **Practice address fax:** (214) 276-6998
- **Mailing address:** 5618 LEMMON AVE, DALLAS, TX 75209
- **Mailing address phone:** (214) 429-3244
- **Mailing address fax:** (214) 276-6998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2024
- **Last updated:** 04/04/2024