# FERGUSON FAMILY DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154760130
- **Authorized official:** DR. SHAMIM MOSLEMI D.D.S. (OWNER)
- **Authorized official phone:** (972) 668-3003

## Contact information

- **Practice address:** 2572 GUS THOMASSON RD, DALLAS, TX 75228-3017
- **Practice address phone:** (214) 484-2479
- **Practice address fax:** (214) 484-3022
- **Mailing address:** 2572 GUS THOMASSON RD, DALLAS, TX 75228-3017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 25797 | TX | Yes |

## Other

- **Enumeration date:** 06/23/2013
- **Last updated:** 11/19/2013