Ronald Moos, DDS
NPI #1972649952 in Campbellsport, Wisconsin
Provider Information
- NPI Number
- 1972649952
- Entity Type
- Individual
- Name
- Ronald Moos, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 130 N FOND DU LAC AVE
- City
- Campbellsport
- State
- Wisconsin
- ZIP Code
- 53010-0739
- Phone
- (920) 533-8512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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