Provider Demographics
NPI:1821798901
Name:MSZ ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:MSZ ASSOCIATES, PLLC
Other - Org Name:STELLAR FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMAYYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUJEEB
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-514-8288
Mailing Address - Street 1:3190 N POINCIANA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3190 N POINCIANA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746
Practice Address - Country:US
Practice Address - Phone:407-663-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty