Organization
POSH DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MOUSSA (OWNER)
(201) 899-7916
Entity
Organization
Contact information
Practice address
39 TALLMAN PL STE 2, ENGLEWOOD, NJ 07631-2702
(201) 899-7916
Mailing address
39 TALLMAN PL STE 2, ENGLEWOOD, NJ 07631-2702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22948
DOCTOR OF DENTAL SURGERY
NJ
Enumeration date
05/29/2019
Last updated
06/11/2019
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