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Organization
MOSSMAN DENTAL PLLC
Active
Organization
MOSSMAN DENTAL PLLC
Active
Other names
The Dental Park
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM M MOSSMAN DDS (OWNER)
(972) 838-3772
Entity
Organization
Contact information
Practice address
634 SUNLAND PARK DR, EL PASO, TX 79912-5138
(972) 838-3772
Mailing address
PO BOX 195487, DALLAS, TX 75219-8608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/29/2021
Last updated
05/16/2022
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