Individual
DR. EDWARD MOUSALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23525 GOLDEN SPRINGS DR, SUITE C., DIAMOND BAR, CA 91765-2175
(909) 860-9399
Mailing address
23525 GOLDEN SPRINGS DR, SUITE C., DIAMOND BAR, CA 91765-2175
(909) 860-9399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035303
CA
Other
Enumeration date
02/06/2007
Last updated
07/28/2016
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