Individual
GREG MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 BOTANICAL CIR, TRAVELERS REST, SC 29690-7112
(864) 836-3611
Mailing address
125 BOTANICAL CIR, TRAVELERS REST, SC 29690-7112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9406
SC
Other
Enumeration date
06/22/2019
Last updated
06/22/2019
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