Ammar Mousa DDS LLC

NPI #1265000822 in Wildwood, Florida

Provider Information

NPI Number: 1265000822
Entity Type: Organization
Organization Name: Ammar Mousa DDS LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 11, 2021
Last Updated: Jun 11, 2021

Practice Location

Address: 590 S MAIN ST
City: Wildwood
State: Florida
ZIP Code: 34785-4832
Phone: (352) 748-1880

Authorized Official

Name: AMMAR MOUSA, DDS
Title: DENTIST
Phone: (352) 748-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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