Marks Moss, Shaneka S
Marks Moss, Shaneka S is an individual health care provider with primary practice located at 5103 Magna Carta Blvd Suite 100, Grand Prairie TX 75052-5213. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Marks Moss, Shaneka S can be contacted via phone (972) 352-6677.Contact Information
Primary practice address
5103 Magna Carta Blvd Suite 100
Grand Prairie TX 75052-5213
Phone: (972) 352-6677
Fax: (972) 352-6678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 25693 | Texas |
Profile Details
| NPI number | 1962716399 |
|---|---|
| LBN Legal business name | Marks Moss, Shaneka S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2010 |
| Last updated | Sep 23rd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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