Individual
ALI MOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2026 ROSEDOWN DR, MONROE, LA 71201-3083
(318) 237-3784
Mailing address
2026 ROSEDOWN DR, MONROE, LA 71201-3083
(318) 237-3784
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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