# MOOS FAMILY DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moos Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396415097
- **Authorized official:** MRS. SANDY MOOS (OFFICE MANAGER)
- **Authorized official phone:** (406) 586-4961

## Contact information

- **Practice address:** 1288 N 14TH AVE STE 101, BOZEMAN, MT 59715-8534
- **Practice address phone:** (406) 586-4961
- **Mailing address:** 1288 N 14TH AVE STE 101, BOZEMAN, MT 59715-8534
- **Mailing address phone:** (406) 586-4961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2021
- **Last updated:** 09/15/2021