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Individual

DR. DAVID A MOSAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5856 RIDGEWOOD RD, JACKSON, MS 39211-2617
(601) 956-9595
(601) 956-9883
Mailing address
5856 RIDGEWOOD RD, JACKSON, MS 39211-2617
(601) 956-9595
(601) 956-9883

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1585-73
MS

Other

Enumeration date
02/13/2007
Last updated
07/08/2007
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