| East Dallas Dentistry Pllc | |
|
5429 E Grand Ave Dallas TX 75223-1914 | |
| (214) 377-7312 | |
| Not Available |
| Full Name | East Dallas Dentistry Pllc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 5429 E Grand Ave, Dallas, Texas |
| Authorized Official Name and Position | Justin Masseeh Emami (OWNER) |
| Authorized Official Contact | 9186957616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Dallas Dentistry Pllc 11627 S Louisville Ave Tulsa OK 74137-8543 Ph: (918) 695-7616 | East Dallas Dentistry Pllc 5429 E Grand Ave Dallas TX 75223-1914 Ph: (214) 377-7312 |
| NPI Number | 1780186205 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780186205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 33767 (Texas) | Primary |
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