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Individual

DR. WILLIAM R. MOOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
132 MONROE ST, MONDOVI, WI 54755-1731
(715) 926-4237
Mailing address
1471 VALLEY ESTATES RD, MONDOVI, WI 54755-7899
(715) 829-0960

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7264 - 15
WI

Other

Enumeration date
06/13/2014
Last updated
06/13/2014
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