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Individual
DR. EMILE K MOUSSAED
Active
Individual
DR. EMILE K MOUSSAED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3845
WI
1223G0001X
General Practice Dentistry
Primary
6357
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901014893
DENTAL LICENSE
MI
05
—
33501200
—
WI
01
—
3845
DENTAL LICENSE
WI
Enumeration date
08/20/2006
Last updated
12/16/2013
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