Individual
TERA M MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
736 COLUMBUS AVE, LEBANON, OH 45036-1765
(513) 932-1370
(513) 932-0814
Mailing address
736 COLUMBUS AVE, LEBANON, OH 45036-1765
(513) 932-1370
(513) 932-0814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023251
OH
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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