DR. Theodore Lee Moss, D.M.D.

NPI #1366598526 in Sterling, Illinois

Provider Information

NPI Number: 1366598526
Entity Type: Individual
Name: DR. Theodore Lee Moss, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.M.D.
Enumeration Date: Jan 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 804 FREEPORT RD
City: Sterling
State: Illinois
ZIP Code: 61081-3028
Phone: (815) 625-3504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

Provider Name	Specialty	City
Theodore L Moss Dmd Ms PC	Dentist - Orthodontics and Dentofacial Orthopedics	Sterling	AI Deep Dive

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