DR. Richard Bradley Moss, DDS, PLLC

NPI #1356439061 in Southlake, Texas

Provider Information

NPI Number: 1356439061
Entity Type: Individual
Name: DR. Richard Bradley Moss, DDS, PLLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS, PLLC
Enumeration Date: Oct 10, 2006
Last Updated: Mar 4, 2015

Practice Location

Address: 1011 N CARROLL AVE
City: Southlake
State: Texas
ZIP Code: 76092-5305
Phone: (817) 488-6513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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