NPI | 1588703052 |
---|---|
Other Name | JOSEPH MOUSSA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22948) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 050740-1) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2010-07-16 |