Individual
RUSSELL NORMAN MOSHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14431 SOMMERVILLE CT STE A, MIDLOTHIAN, VA 23113-6812
(804) 794-4588
Mailing address
14431 SOMMERVILLE CT STE A, MIDLOTHIAN, VA 23113-6812
(804) 794-4588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419125
VA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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