Montclair Dental Spa
NPI #1366008864 in Montclair, New Jersey
Provider Information
- NPI Number
- 1366008864
- Entity Type
- Organization
- Organization Name
- Montclair Dental Spa
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 10, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 204 CLAREMONT AVE
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-3409
- Phone
- (973) 744-1527
Authorized Official
- Name
- DR. YOUSEF MOUSSA
- Title
- OWNER/DENTIST
- Phone
- (973) 744-1527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
| Dentist - General Practice — General Practice |
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