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Organization
HAITHAM MOSLY, DMD, A PROFESSIONAL CORPORATION
Active
Organization
HAITHAM MOSLY, DMD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAITHAM MOSLY (DMD/PRACTICE OWNER)
(916) 797-0406
Entity
Organization
Contact information
Practice address
1740 SANTA CLARA DR, SUITE 100-B, ROSEVILLE, CA 95661-2921
(916) 797-0406
Mailing address
1740 SANTA CLARA DR, SUITE 100-B, ROSEVILLE, CA 95661-2921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61008
CA
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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