Individual provider · Type 1 NPI

Genesis Moussa, DMD

Student in an Organized Health Care Education/Training Program · Chandler, AZ

NPI number 1083525224 Active

Practice location

2461 E Dana Way
Chandler, AZ 85225-2301

Call (832) 686-0934 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083525224

Genesis Moussa, DMD's National Provider Identifier is 1083525224, issued on Sep 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chandler, AZ. The record was last updated on Sep 16, 2026.