Individual
NABIL MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3700 INGLESIDE BLVD # 101, LADSON, SC 29456-4141
(843) 936-5061
Mailing address
3700 INGLESIDE BLVD #101, LADSON, SC 29456
(843) 936-5061
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10479
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN123065
GA
Other
Enumeration date
07/13/2016
Last updated
07/02/2023
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