Theodore L Moss Dmd Ms PC

NPI #1265588420 in Sterling, Illinois

Provider Information

NPI Number
1265588420
Entity Type
Organization
Organization Name
Theodore L Moss Dmd Ms PC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jan 28, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
804 FREEPORT RD
ZIP Code
61081-3028
Phone
(815) 625-3504

Authorized Official

Name
DR. THEODORE LEE MOSS, DMD
Title
PRESIDENT
Phone
(847) 295-7581

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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