DR. Richard C Moller, DENTIST GENERAL

NPI #1205980091 in Camas, Washington

Provider Information

NPI Number: 1205980091
Entity Type: Individual
Name: DR. Richard C Moller, DENTIST GENERAL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DENTIST GENERAL
Enumeration Date: Jan 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 531 NE EVERETT ST
City: Camas
State: Washington
ZIP Code: 98607
Phone: (360) 834-4990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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