# IG DENTAL

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

## Provider details

- **NPI number:** 1629873708
- **Authorized official:** FAREED IGHANI D.D.S. (OWNER DENTIST)
- **Authorized official phone:** (469) 766-0906

## Contact information

- **Practice address:** 2469 FOREST PARK BLVD, FORT WORTH, TX 76110-1731
- **Practice address phone:** (817) 924-6211
- **Practice address fax:** (817) 924-6212
- **Mailing address:** 2469 FOREST PARK BLVD, FORT WORTH, TX 76110-1731
- **Mailing address phone:** (817) 924-6211
- **Mailing address fax:** (817) 924-6212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2025
- **Last updated:** 02/13/2025
