Individual
AMMAR MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
590 S MAIN ST, WILDWOOD, FL 34785-4832
(352) 748-1880
(352) 748-3345
Mailing address
590 S MAIN ST, WILDWOOD, FL 34785-4832
(352) 748-1880
(352) 748-3345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17585
FL
Other
Enumeration date
08/10/2006
Last updated
04/09/2021
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