# MORNING STAR DENTAL PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114069903
- **Authorized official:** DARIN R MOOSO DDS (DENTIST)
- **Authorized official phone:** (208) 455-9498

## Contact information

- **Practice address:** 4105 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
- **Practice address phone:** (208) 455-9498
- **Mailing address:** 9776 W STATE ST, STAR, ID 83669-5766
- **Mailing address phone:** (208) 455-9498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-3237 | ID | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020