Individual
THOMAS K MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
904 HYLAND AVE, KAUKAUNA, WI 54130-1436
(920) 766-9521
(920) 766-9561
Mailing address
904 HYLAND AVE, KAUKAUNA, WI 54130-1436
(920) 766-9521
(920) 766-9561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1217G
WI
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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