Individual
DR. DANELLE F MOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1221 W DIVIDE AVE, SUITE 1, BISMARCK, ND 58501-1290
(701) 224-0661
(701) 224-0663
Mailing address
3221 BAY SHORE PL SE, MANDAN, ND 58554-6261
(701) 663-4598
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
622
ND
Other
Enumeration date
08/19/2005
Last updated
09/04/2012
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