Individual
DR. DWIGHT ERIC MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2101 TRINITY DR, SUITE P, LOS ALAMOS, NM 87544-4102
(505) 662-2426
Mailing address
2101 TRINITY DR, SUITE P, LOS ALAMOS, NM 87544-4102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1633
NM
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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