THERESE MOUSSA DDS PC NPI 1457892309

NPI Information

THERESE MOUSSA, DDS, PC is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. THERESE MOUSSA, DDS, PC NPI is 1457892309. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clark Dental Care.

The provider's business location address is:

5301 W FULLERTON AVE
CHICAGO, IL
ZIP 60639-424
Phone: (773) 622-4950

The provider's authorized official is Therese Moussa .
The authorized official title is Owner and has the following contact phone number (773) 622-4950.

The enumeration date for this NPI number is 3/12/2017 and was last updated on 3/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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