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Individual
DR. RICHARD BRADLEY MOSS
Active
Individual
DR. RICHARD BRADLEY MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PLLC
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16526
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731666
UNITED CONCORDIA
TX
01
—
D16526
BC/BS
TX
Enumeration date
10/10/2006
Last updated
03/04/2015
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