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Individual

DR. ALAA A MOUSTAFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
47 PENNY LN STE 2, WATSONVILLE, CA 95076-6055
(408) 505-5232
Mailing address
47 PENNY LN STE 2, WATSONVILLE, CA 95076-6055
(408) 505-5232

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
46113
CA
1223P0700X
Prosthodontics
Primary
46113
CA

Other

Enumeration date
09/27/2006
Last updated
12/26/2013
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