Individual
MOUTAZ DANDASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1597 WASHINGTON PIKE STE A5, BRIDGEVILLE, PA 15017-2881
(412) 279-4800
(412) 279-7119
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS029415
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015280950010
—
PA
05
—
0015280950011
—
PA
05
—
0015280950016
—
PA
05
—
0015280950020
—
PA
05
—
0015280950021
—
PA
05
—
0015280950022
—
PA
05
—
0015280950023
—
PA
05
—
0015280950024
—
PA
05
—
076818900
—
FL
Enumeration date
03/31/2006
Last updated
12/06/2013
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