Organization
DR.SONIA MOUSSA DDS .PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA W. MOUSSA DDS (PRESIDENT)
(773) 769-4585
Entity
Organization
Contact information
Practice address
4403 N CLARK ST, CHICAGO, IL 60640-5403
(773) 769-4585
(773) 769-4553
Mailing address
4403 N CLARK ST, CHICAGO, IL 60640-5403
(773) 769-4585
(773) 769-4553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024234
IL
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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