# POSH DENTAL LLC

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

## Provider details

- **NPI number:** 1508424284
- **Authorized official:** JOSEPH MOUSSA (OWNER)
- **Authorized official phone:** (201) 899-7916

## Contact information

- **Practice address:** 39 TALLMAN PL STE 2, ENGLEWOOD, NJ 07631-2702
- **Practice address phone:** (201) 899-7916
- **Mailing address:** 39 TALLMAN PL STE 2, ENGLEWOOD, NJ 07631-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22948 | DOCTOR OF DENTAL SURGERY | NJ |