| Maxim Mossman Dds, Pllc | |
|
909 S Tyler St Dallas TX 75208-6254 | |
| (972) 362-2225 | |
| Not Available |
| Full Name | Maxim Mossman Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 909 S Tyler St, Dallas, Texas |
| Authorized Official Name and Position | Maxmim Mossman (OWNER / D.D.S.) |
| Authorized Official Contact | 9723622225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxim Mossman Dds, Pllc 909 S Tyler St Dallas TX 75208-6254 Ph: () - | Maxim Mossman Dds, Pllc 909 S Tyler St Dallas TX 75208-6254 Ph: (972) 362-2225 |
| NPI Number | 1215405469 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215405469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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