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Organization

GREGORY J MOOS DDS PC

Active
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Organization

GREGORY J MOOS DDS PC

Active
Other names
Four Corners Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY J MOOS DDS (OWNER DENTIST)
(715) 495-5131
Entity
Organization

Contact information

Practice address
380 ICE CENTER LN STE B, BOZEMAN, MT 59718-5970
(406) 586-9871
(406) 522-0586
Mailing address
380 ICE CENTER LN STE B, BOZEMAN, MT 59718-5970
(406) 586-9871
(406) 522-0586

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
12/21/2017
Last updated
12/21/2017
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