Individual
DR. MINATULLAH MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 GROVE PARK DR, ORANGEBURG, SC 29115-2455
(803) 855-0726
Mailing address
421 ANTEBELLUM LN, MOUNT PLEASANT, SC 29464-7851
(614) 633-7616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10594
SC
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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