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Organization

ELEMENTAL DENTAL - SONYA R. MOESLE DDS, LLC

Active
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Organization

ELEMENTAL DENTAL - SONYA R. MOESLE DDS, LLC

Active
Other names
New Leaf Dental
Organization subpart
No

Provider details

NPI number
Authorized official
SONYA RENEE MOESLE DDS (PRINCIPAL)
(740) 964-3500
Entity
Organization

Contact information

Practice address
686 CORYLUS DR, PATASKALA, OH 43062-7628
(740) 964-3500
(740) 964-3502
Mailing address
686 CORYLUS DR, PATASKALA, OH 43062-7628
(740) 964-3500
(740) 964-3502

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL

Other

Enumeration date
05/09/2023
Last updated
05/09/2023
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