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Organization
MOSSPRIME DENTAL PLLC
Active
Organization
MOSSPRIME DENTAL PLLC
Active
Other names
North Arlington Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIM MOURATOV MOSSMAN (DR. (OWNER))
(972) 362-2225
Entity
Organization
Contact information
Practice address
1625 PECAN PARK DR, ARLINGTON, TX 76012-3044
(972) 362-2225
(972) 362-2226
Mailing address
1625 PECAN PARK DR, ARLINGTON, TX 76012-3044
(972) 362-2225
(972) 362-2226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
02/05/2021
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