Individual
DR. DAVID G MUSSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 ANDERSON AVE, COOS BAY, OR 97420-1672
(541) 267-3977
Mailing address
650 ANDERSON AVE, COOS BAY, OR 97420-1672
(541) 267-3977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9073
OR
1223G0001X
General Practice Dentistry
DT2262
HI
Other
Enumeration date
10/20/2006
Last updated
12/07/2009
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