Individual
DR. THOMAS LEE MOSLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15925 SE STARK ST, PORTLAND, OR 97233-3525
(971) 757-6563
Mailing address
15925 SE STARK ST, PORTLAND, OR 97233-3525
(971) 757-6563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10411
OR
Other
Enumeration date
12/08/2015
Last updated
12/06/2022
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