Organization
FLOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI FIAZ (OWNER)
(630) 849-5663
Entity
Organization
Contact information
Practice address
5618 LEMMON AVE, DALLAS, TX 75209
(214) 429-3244
(214) 276-6998
Mailing address
5618 LEMMON AVE, DALLAS, TX 75209
(214) 429-3244
(214) 276-6998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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