Individual
DR. RUSSELL N MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1320 ALVERSER PLAZA, MIDLOTHIAN, VA 23113
(804) 379-0962
(804) 379-2796
Mailing address
1320 ALVERSER PLAZA, MIDLOTHIAN, VA 23113
(804) 379-0962
(804) 379-2796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007113
VA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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