Organization
EAST DALLAS DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MASSEEH EMAMI DDS (OWNER)
(918) 695-7616
Entity
Organization
Contact information
Practice address
5429 E GRAND AVE, DALLAS, TX 75223-1914
(214) 377-7312
Mailing address
11627 S LOUISVILLE AVE, TULSA, OK 74137-8543
(918) 695-7616
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
33767
TX
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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