Individual
DR. PATRICK PAUL MOSELEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 N SPRING ST, FORDYCE, AR 71742-3317
(870) 352-5161
(870) 352-7510
Mailing address
305 N SPRING ST, FORDYCE, AR 71742-3317
(870) 352-5161
(870) 352-7510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2914
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117159608
—
AR
Enumeration date
06/03/2006
Last updated
05/14/2013
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