Darin R. Mooso

NPI #1184160566 in Caldwell, Idaho

Provider Information

NPI Number: 1184160566
Entity Type: Organization
Organization Name: Darin R. Mooso
Primary Specialty: Dentist
Enumeration Date: Jan 10, 2017
Last Updated: Jan 10, 2017

Practice Location

Address: 4105 CLOCK TOWER AVE
City: Caldwell
State: Idaho
ZIP Code: 83607-5006
Phone: (208) 455-0033

Authorized Official

Name: DARIN R MOOSO, DDS
Title: PRESIDENT
Phone: (208) 455-0033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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