| Fusion Children's Dentistry And Orthodontics | |
|
19200 Preston Rd Suite 100 Dallas TX 75252-2450 | |
| (972) 666-4949 | |
| (972) 666-4944 |
| Full Name | Fusion Children's Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 19200 Preston Rd, Dallas, Texas |
| Authorized Official Name and Position | Hessam Rahimi (OWNER) |
| Authorized Official Contact | 9726664949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fusion Children's Dentistry And Orthodontics 19200 Preston Rd Suite 100 Dallas TX 75252-2450 Ph: (972) 666-4949 | Fusion Children's Dentistry And Orthodontics 19200 Preston Rd Suite 100 Dallas TX 75252-2450 Ph: (972) 666-4949 |
| NPI Number | 1376956052 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376956052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 26398 (Texas) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 27132 (Texas) | Primary |
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