| Moss Family Dentistry, P.a. | |
|
9095 N Hess St Suite 201 Hayden ID 83835-9827 | |
| (208) 762-3843 | |
| Not Available |
| Full Name | Moss Family Dentistry, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9095 N Hess St, Hayden, Idaho |
| Authorized Official Name and Position | David L Moss (PRESIDENT) |
| Authorized Official Contact | 2087623843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moss Family Dentistry, P.a. 9095 N Hess St Suite 201 Hayden ID 83835-9827 Ph: () - | Moss Family Dentistry, P.a. 9095 N Hess St Suite 201 Hayden ID 83835-9827 Ph: (208) 762-3843 |
| NPI Number | 1568601250 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568601250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-3976 (Idaho) | Primary |
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