Individual
DR. JOSEPH LEONARD MUSTAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
Mailing address
391 ESSEX CT, PERKASIE, PA 18944-1297
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS042154
PA
Other
Enumeration date
05/22/2019
Last updated
08/30/2020
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