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Individual

MOHAMMAD MOUSAVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5601 BRODIE LN STE 1325, SUNSET VALLEY, TX 78745-0010
(512) 354-3920
Mailing address
5106 DEER CREEK PL, ALPHARETTA, GA 30004-5052

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41010
TX

Other

Enumeration date
09/26/2024
Last updated
08/06/2025
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