| Moosa Family Dentistry, Pllc | |
|
650 Huron Blvd Marysville MI 48040-1427 | |
| (810) 364-9060 | |
| Not Available |
| Full Name | Moosa Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 650 Huron Blvd, Marysville, Michigan |
| Authorized Official Name and Position | Fadi Moosa (DENTIST) |
| Authorized Official Contact | 2489903575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moosa Family Dentistry, Pllc 650 Huron Blvd Marysville MI 48040-1427 Ph: (810) 364-9060 | Moosa Family Dentistry, Pllc 650 Huron Blvd Marysville MI 48040-1427 Ph: (810) 364-9060 |
| NPI Number | 1700468345 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700468345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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