| Firewheel Pediatric Dental Specialists Pllc | |
|
4880 N President George Bush Hwy Ste 104 Garland TX 75040 | |
| (972) 364-7472 | |
| Not Available |
| Full Name | Firewheel Pediatric Dental Specialists Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4880 N President George Bush Hwy Ste 104, Garland, Texas |
| Authorized Official Name and Position | Maheeb Jaouni (OWNER) |
| Authorized Official Contact | 4697020286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firewheel Pediatric Dental Specialists Pllc 4880 N President George Bush Hwy Ste 104 Garland TX 75040-2742 Ph: (972) 364-7472 | Firewheel Pediatric Dental Specialists Pllc 4880 N President George Bush Hwy Ste 104 Garland TX 75040 Ph: (972) 364-7472 |
| NPI Number | 1356838981 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356838981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30555 (Texas) | Primary |
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