| Shanan Mossman Dds Pllc | |
|
137 Pr 1735 Mico TX 78056-5539 | |
| (210) 859-6261 | |
| Not Available |
| Full Name | Shanan Mossman Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 137 Pr 1735, Mico, Texas |
| Authorized Official Name and Position | Shanan M Mossman (DENTIST/OWNER) |
| Authorized Official Contact | 2108596261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanan Mossman Dds Pllc 137 Pr 1735 Mico TX 78056-5539 Ph: (210) 859-6261 | Shanan Mossman Dds Pllc 137 Pr 1735 Mico TX 78056-5539 Ph: (210) 859-6261 |
| NPI Number | 1407128291 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407128291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23376 (Texas) | Primary |