Thomas K Moeller, D.D.S.

NPI #1063508000 in Kaukauna, Wisconsin

Provider Information

NPI Number
1063508000
Entity Type
Individual
Name
Thomas K Moeller, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
904 HYLAND AVE
ZIP Code
54130-1436
Phone
(920) 766-9521

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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