Individual
DR. RONALD O MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
310 MAPLE DR, VIDALIA, GA 30474-8909
(912) 537-4119
(912) 537-9117
Mailing address
310 MAPLE DR, VIDALIA, GA 30474-8909
(912) 537-4119
(912) 537-9117
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
010415
GA
Other
Enumeration date
08/30/2005
Last updated
07/09/2007
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