Organization
FUSION CHILDREN'S DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILOOFAR KHALESSEH DDS, MS (OWNER)
(310) 666-6071
Entity
Organization
Contact information
Practice address
19200 PRESTON RD STE 120, DALLAS, TX 75252-2450
(972) 666-4949
(972) 666-4944
Mailing address
19200 PRESTON RD, DALLAS, TX 75252-2450
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
01/11/2025
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