Individual
DR. RICHARD C MOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST GENERAL
Contact information
Practice address
531 NE EVERETT ST, CAMAS, WA 98607
(360) 834-4990
(360) 834-3424
Mailing address
531 NE EVERETT ST, CAMAS, WA 98607
(360) 834-4990
(360) 834-3424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3972
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M000013585
UNITED CONCORDIA
WA
Enumeration date
01/22/2007
Last updated
07/08/2007
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