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Individual

DR. PHILIP D MOSES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
631 W COLLEGE ST, LAKE CHARLES, LA 70605-1521
(337) 474-9057
(337) 474-9444
Mailing address
631 W COLLEGE ST, LAKE CHARLES, LA 70605-1521
(337) 474-2563
(337) 474-9444

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3442
LA

Other

Enumeration date
10/27/2005
Last updated
08/01/2017
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