Organization
DANNY MOOSA DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY MOOSA DMD (OWNER DENTIST)
(724) 777-1170
Entity
Organization
Contact information
Practice address
1080 POLARIS PKWY STE 220, COLUMBUS, OH 43240-6035
(614) 854-0101
Mailing address
1080 POLARIS PKWY STE 220, COLUMBUS, OH 43240-6035
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/10/2021
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