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Individual

DR. KIRK DUNCAN MOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3260 N TOLTEC RD, ELOY, AZ 85231-9617
(520) 466-3920
(520) 466-3921
Mailing address
PO BOX 606, ELOY, AZ 85231-0021
(520) 466-3920
(520) 466-9321

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2671
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
091992
AHCCCS
AZ
Enumeration date
01/19/2007
Last updated
05/27/2009
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