Individual
BROOKE S MOSSADED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
119 PROSPECT ST, RIDGEWOOD, NJ 07450-4451
(201) 444-1600
(201) 444-8774
Mailing address
119 PROSPECT ST, RIDGEWOOD, NJ 07450-4451
(201) 444-1600
(201) 444-8774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D101688100
NJ
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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