| Darel Moss D.D.S. PC | |
|
1682 Beacon St Brookline MA 02445-2120 | |
| (617) 566-5363 | |
| (617) 731-0023 |
| Full Name | Darel Moss D.D.S. PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1682 Beacon St, Brookline, Massachusetts |
| Authorized Official Name and Position | Darel Moss (OWNER) |
| Authorized Official Contact | 6175665363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darel Moss D.D.S. PC 1682 Beacon St Brookline MA 02445-2120 Ph: (617) 566-5363 | Darel Moss D.D.S. PC 1682 Beacon St Brookline MA 02445-2120 Ph: (617) 566-5363 |
| NPI Number | 1992963896 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 05/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992963896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13492 (Massachusetts) | Primary |
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