Individual
MRS. CIERA DIANE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
715 GRANDVIEW AVE, PAWHUSKA, OK 74056-3201
(918) 287-3232
Mailing address
715 GRANDVIEW AVE, PAWHUSKA, OK 74056-3201
(918) 287-3232
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4466
OK
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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