| NPI | 1538263652 |
|---|---|
| Former Legal Business Name | MUSSO DENTAL LLP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN MUSSO Owner 972-840-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17805) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 16290) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |