Firewheel Modern Dentistry, PC
Dentist in Garland, TX. Organization (NPI-2).
NPI number1376972901
StatusActive
Last updated in NPPESNov 5, 2013
Details
- NPI
- 1376972901
- Entity type
- Organization (NPI-2)
- Legal business name
- Firewheel Modern Dentistry, PC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2013
- Last updated
- Nov 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Firewheel Modern Dentistry (Doing Business As)
Practice location
5129 N Garland Ave Ste 700Garland, TX 75040-2746
Phone 972-276-5191 · Fax 972-276-5150
Mailing address
17000 Red Hill AveIrvine, CA 92614-5626
Phone 714-845-8890 · Fax 949-474-1495
Authorized official
John S Barnes
Owner Dentist
9722765191
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