Gregory Moos, DDS

NPI #1285085795 in Red Lodge, Montana

Provider Information

NPI Number: 1285085795
Entity Type: Individual
Name: Gregory Moos, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 27, 2016
Last Updated: Jul 1, 2016

Practice Location

Address: 515 BROADWAY AVE. NORTH
City: Red Lodge
State: Montana
ZIP Code: 59068
Phone: (715) 495-5131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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