DR. Minatullah Mousa
NPI #1285314971 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1285314971
- Entity Type
- Individual
- Name
- DR. Minatullah Mousa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 19, 2023
- Last Updated
- Jul 19, 2023
Practice Location
- Address
- 1350 GROVE PARK DR
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29115-2455
- Phone
- (803) 855-0726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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