Organization
THE KENEDY DENTIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIM MOSSMAN DDS (OWNER)
(972) 838-3772
Entity
Organization
Contact information
Practice address
131 BUSINESS PARK BLVD STE 600, KENEDY, TX 78119-3512
(972) 838-3772
Mailing address
PO BOX 195487, DALLAS, TX 75219-8608
(972) 838-3772
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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