Individual
SASSAN MOUZOON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7227 N DREAMY DRAW DR STE 1, SUMMIT DENTAL CARE, PHOENIX, AZ 85020
(602) 678-0678
(602) 678-3921
Mailing address
1835 E BASELINE RD, GILBERT, AZ 85234
(480) 507-5645
(480) 507-5798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5188
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
733346
—
AZ
Enumeration date
05/19/2006
Last updated
07/08/2007
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