DR. Mirrial Jane Moses, D.M.D.

NPI #1194807545 in Augusta, Georgia

Provider Information

NPI Number: 1194807545
Entity Type: Individual
Name: DR. Mirrial Jane Moses, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1039 11TH ST
City: Augusta
State: Georgia
ZIP Code: 30901-2873
Phone: (706) 722-4008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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