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Organization
SHANAN MOSSMAN DDS PLLC
Active
Organization
SHANAN MOSSMAN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANAN M MOSSMAN DDS (DENTIST/OWNER)
(210) 859-6261
Entity
Organization
Contact information
Practice address
137 PR 1735, MICO, TX 78056-5539
(210) 859-6261
Mailing address
137 PR 1735, MICO, TX 78056-5539
(210) 859-6261
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23376
TX
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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