# GREGG E MOSLEY PROFESSIONAL ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DEER PARK DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902285992
- **Authorized official:** DR. GREGG E MOSLEY DDS (OWNER)
- **Authorized official phone:** (281) 479-8668

## Contact information

- **Practice address:** 2705 CENTER ST, DEER PARK, TX 77536-4955
- **Practice address phone:** (281) 479-8668
- **Practice address fax:** (281) 930-0400
- **Mailing address:** 2705 CENTER ST, DEER PARK, TX 77536-4955
- **Mailing address phone:** (281) 479-8668
- **Mailing address fax:** (281) 930-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0014960 | TX | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/22/2015