Organization
JOHN MOUSHATI, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MOUSHATI D.M.D. (PRESIDENT)
(954) 564-3244
Entity
Organization
Contact information
Practice address
1749 NE 26TH ST, SUITE A, WILTON MANORS, FL 33305-1428
(954) 564-3244
Mailing address
1749 NE 26TH ST, SUITE A, WILTON MANORS, FL 33305-1428
(954) 564-3244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0013133
FL
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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