Individual
DR. JUSTIN MICHAEL MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
953 S FRONTAGE RD W STE 104, VAIL, CO 81657-5709
(970) 476-3991
Mailing address
953 S FRONTAGE RD W STE 104, VAIL, CO 81657-5709
(970) 476-3991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00202390
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2012
Last updated
12/19/2017
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