# ELITE DENTAL ASSOCIATES - FIREWHEEL, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Watermark Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417260001
- **Authorized official:** DR. ANDY C CHANG DDS MS (OWNER / OPERATOR)
- **Authorized official phone:** (214) 220-2424

## Contact information

- **Practice address:** 5435 N GARLAND AVE STE 125, GARLAND, TX 75040-2723
- **Practice address phone:** (972) 530-7374
- **Practice address fax:** (214) 452-8203
- **Mailing address:** 5435 N GARLAND AVE STE 125, GARLAND, TX 75040-2723
- **Mailing address phone:** (972) 530-7374
- **Mailing address fax:** (214) 452-8203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 18994 | TX | Yes |

## Other

- **Enumeration date:** 07/23/2010
- **Last updated:** 07/23/2010