# EAST DALLAS DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1780186205
- **Authorized official:** DR. JUSTIN MASSEEH EMAMI DDS (OWNER)
- **Authorized official phone:** (918) 695-7616

## Contact information

- **Practice address:** 5429 E GRAND AVE, DALLAS, TX 75223-1914
- **Practice address phone:** (214) 377-7312
- **Mailing address:** 11627 S LOUISVILLE AVE, TULSA, OK 74137-8543
- **Mailing address phone:** (918) 695-7616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 33767 | TX | Yes |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 02/28/2018