Individual
DR. FADI MOOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 HURON BLVD, MARYSVILLE, MI 48040-1427
(810) 364-9060
Mailing address
650 HURON BLVD, MARYSVILLE, MI 48040-1427
(810) 364-9060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022257
MI
Other
Enumeration date
05/24/2017
Last updated
04/22/2021
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