Organization
AMMAR MOUSA DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMAR MOUSA DDS (DENTIST)
(352) 748-1880
Entity
Organization
Contact information
Practice address
590 S MAIN ST, WILDWOOD, FL 34785-4832
(352) 748-1880
(352) 748-3345
Mailing address
590 S MAIN ST, WILDWOOD, FL 34785-4832
(352) 748-1880
(352) 748-3345
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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