DR. Thomas Ryan Moss, DDS

NPI #1013026624 in Rockford, Illinois

Provider Information

NPI Number: 1013026624
Entity Type: Individual
Name: DR. Thomas Ryan Moss, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1415 E STATE STREET
City: Rockford
State: Illinois
ZIP Code: 61104
Phone: (815) 964-5121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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