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Organization

MOSS ORTHODONTICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATHEW MOSS DDS, MS (OWNER)
(307) 587-9009
Entity
Organization

Contact information

Practice address
613 YELLOWSTONE AVE STE B, CODY, WY 82414-9366
(307) 587-9009
Mailing address
613 YELLOWSTONE AVE STE B, CODY, WY 82414-9366
(307) 587-9009

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1133
WY

Other

Enumeration date
09/06/2018
Last updated
09/06/2018
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