Moss Family Dentistry, P.a.

NPI #1568601250 in Hayden, Idaho

Provider Information

NPI Number
1568601250
Entity Type
Organization
Organization Name
Moss Family Dentistry, P.a.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 19, 2009
Last Updated
Feb 19, 2009

Practice Location

Address
9095 N HESS ST
Address 2
SUITE 201
City
Hayden
State
Idaho
ZIP Code
83835-9827
Phone
(208) 762-3843

Authorized Official

Name
DR. DAVID L MOSS, D.D.S.
Title
PRESIDENT
Phone
(208) 762-3843

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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