Individual
MUJTABA HUSSAIN MOOSAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
77 JULIUSTOWN RD, BROWNS MILLS, NJ 08015-3627
(609) 531-0777
Mailing address
3 AMBERWOOD LN, LUMBERTON, NJ 08048-4309
(609) 634-0192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02682100
NJ
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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