DR. Mark Steven Moeller, DDS

NPI #1083895510 in La Crosse, Wisconsin

Provider Information

NPI Number: 1083895510
Entity Type: Individual
Name: DR. Mark Steven Moeller, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 27, 2007
Last Updated: Dec 19, 2018

Practice Location

Address: 1836 SOUTH AVE
City: La Crosse
State: Wisconsin
ZIP Code: 54601-5429
Phone: (608) 782-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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