| Fa Dental Pllcs | |
|
817 W Pioneer Pkwy Suite 150 Grand Prairie TX 75051-4710 | |
| (702) 275-9460 | |
| Not Available |
| Full Name | Fa Dental Pllcs |
|---|---|
| Speciality | Dentist |
| Location | 817 W Pioneer Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | Farnaz Athari (DENTIST) |
| Authorized Official Contact | 7022759460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fa Dental Pllcs 6034 Palo Pinto Ave Dallas TX 75206-6834 Ph: () - | Fa Dental Pllcs 817 W Pioneer Pkwy Suite 150 Grand Prairie TX 75051-4710 Ph: (702) 275-9460 |
| NPI Number | 1609269380 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609269380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27586 (Texas) | Primary |
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Thad Taylor Iv Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 Phone: 972-647-8008 Fax: 972-660-8509 | |
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