Individual
DR. VELDON ROSS MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1115 MAPLE WAY, JACKSON, WY 83001
(307) 733-7044
(307) 734-1409
Mailing address
PO BOX 9248, JACKSON, WY 83002-9248
(307) 733-7044
(307) 734-1409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2200
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130152
—
MT
01
—
5512974
CHIP
MT
Enumeration date
03/21/2007
Last updated
12/14/2009
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