Organization
FA DENTAL PLLCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARNAZ ATHARI DDS (DENTIST)
(702) 275-9460
Entity
Organization
Contact information
Practice address
817 W PIONEER PKWY, SUITE 150, GRAND PRAIRIE, TX 75051-4710
(702) 275-9460
Mailing address
6034 PALO PINTO AVE, DALLAS, TX 75206-6834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27586
TX
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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