Dr Mosquera Prosthodontics Pllc

NPI #1114608965 in Springfield, Illinois

Provider Information

NPI Number
1114608965
Entity Type
Organization
Organization Name
Dr Mosquera Prosthodontics Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 25, 2023
Last Updated
Jul 25, 2023

Practice Location

Address
687 E LINTON AVE
ZIP Code
62703-5902
Phone
(718) 909-2550

Authorized Official

Name
JORGE ENRIQUE MOSQUERA CASTRILLON, DDS
Title
DENTIST
Phone
(561) 635-8018

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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