| Haitham Mosly, Dmd, A Professional Corporation | |
|
1740 Santa Clara Dr Suite 100-b Roseville CA 95661-2921 | |
| (916) 797-0406 | |
| Not Available |
| Full Name | Haitham Mosly, Dmd, A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1740 Santa Clara Dr, Roseville, California |
| Authorized Official Name and Position | Haitham Mosly (DMD/PRACTICE OWNER) |
| Authorized Official Contact | 9167970406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haitham Mosly, Dmd, A Professional Corporation 1740 Santa Clara Dr Suite 100-b Roseville CA 95661-2921 Ph: () - | Haitham Mosly, Dmd, A Professional Corporation 1740 Santa Clara Dr Suite 100-b Roseville CA 95661-2921 Ph: (916) 797-0406 |
| NPI Number | 1427435809 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427435809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61008 (California) | Primary |
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