Organization
CASA MOSSMAN DENTAL PLLC
Active
Other names
EZ Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM MOSSMAN DDS (OWNER)
(972) 838-3772
Entity
Organization
Contact information
Practice address
670 W CAMPBELL RD STE 160, RICHARDSON, TX 75080-3384
(972) 838-3772
Mailing address
670 W CAMPBELL RD STE 160, RICHARDSON, TX 75080-3384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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