# EAST GRAND FAMILY DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East Dallas Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154760247
- **Authorized official:** DR. SHAMIM MOSLEMI D.D.S. (OWNER)
- **Authorized official phone:** (972) 668-3003

## Contact information

- **Practice address:** 5429 E GRAND AVE, DALLAS, TX 75223-1914
- **Practice address phone:** (214) 377-7312
- **Practice address fax:** (214) 377-7360
- **Mailing address:** 5429 E GRAND AVE, DALLAS, TX 75223-1914
- **Mailing address fax:** (972) 239-0755

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 11/19/2013