Organization
AMMAR MOUSA DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMAR MOUSA DDS (DR.)
(352) 633-9184
Entity
Organization
Contact information
Practice address
4060 E SR 44 STE 2-B, WILDWOOD, FL 34785-7486
(352) 748-1880
(352) 748-3345
Mailing address
4060 E SR 44 STE 2-B, WILDWOOD, FL 34785-7486
(352) 633-9184
(352) 748-3345
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
05/26/2021
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