Individual
DR. JOSEPH MUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1277 E MISSOURI AVE STE 111, PHOENIX, AZ 85014-2916
(602) 277-4464
Mailing address
1277 E MISSOURI AVE STE 111, PHOENIX, AZ 85014-2916
(602) 277-4464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2013027107
MO
122300000X
Dentist
DS039084
PA
1223G0001X
General Practice Dentistry
Primary
D009091
AZ
Other
Enumeration date
05/27/2012
Last updated
01/27/2023
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