Organization
MERIT DENTAL OF CONNECTICUT PC
Active
Other names
Mondovi Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY MOOS DDS (PC OWNER)
(715) 926-5050
Entity
Organization
Contact information
Practice address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
(715) 926-4269
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
(715) 926-4269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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