Shanan Mossman Dds Pllc | |
137 Pr 1735 Mico TX 78056-5539 | |
(210) 859-6261 | |
Not Available |
Full Name | Shanan Mossman Dds Pllc |
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Speciality | Dentist |
Location | 137 Pr 1735, Mico, Texas |
Authorized Official Name and Position | Shanan M Mossman (DENTIST/OWNER) |
Authorized Official Contact | 2108596261 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shanan Mossman Dds Pllc 137 Pr 1735 Mico TX 78056-5539 Ph: (210) 859-6261 | Shanan Mossman Dds Pllc 137 Pr 1735 Mico TX 78056-5539 Ph: (210) 859-6261 |
NPI Number | 1407128291 |
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Provider Enumeration Date | 02/08/2012 |
Last Update Date | 02/08/2012 |
Identifier | Type | State | Issuer |
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1407128291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 23376 (Texas) | Primary |