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 |