Individual
GEMMA SHIRANI MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT124/LDH7581
Contact information
Practice address
8960 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5852
(763) 600-6800
(763) 784-5978
Mailing address
8960 SPRINGBROOK DR NW STE 150, COON RAPIDS, MN 55433-5810
(763) 600-6800
(763) 784-5978
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT124
MN
Other
Enumeration date
08/04/2020
Last updated
04/24/2024
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