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Organization

J RYAN MOSES DMD PS

Active
Other names
J Ryan Moses DMD PS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSE RYAN MOSES DMD (PRESIDENT)
(503) 289-1992
Entity
Organization

Contact information

Practice address
3332 N LOMBARD, STE B, PORTLAND, OR 97217
(503) 289-1992
(503) 289-3097
Mailing address
3332 N LOMBARD, STE B, PORTLAND, OR 97217
(503) 289-1992
(503) 289-3097

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
11/17/2006
Last updated
08/22/2020
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