Peter A. Moosman, DDS a Prof. Corp

NPI #1245497601 in Campbell, California

Provider Information

NPI Number: 1245497601
Entity Type: Organization
Organization Name: Peter A. Moosman, DDS a Prof. Corp
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 21, 2008
Last Updated: May 21, 2008

Practice Location

Address: 2505 S BASCOM AVE
City: Campbell
State: California
ZIP Code: 95008-4302
Phone: (408) 377-8910

Authorized Official

Name: DR. PETER A. MOOSMAN, DDS
Title: OWNER/DENTIST
Phone: (408) 377-8910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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