DR. Fadi Moosa, DDS

NPI #1134657927 in Marysville, Michigan

Provider Information

NPI Number: 1134657927
Entity Type: Individual
Name: DR. Fadi Moosa, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 24, 2017
Last Updated: Apr 22, 2021

Practice Location

Address: 650 HURON BLVD
City: Marysville
State: Michigan
ZIP Code: 48040-1427
Phone: (810) 364-9060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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