Individual
DR. JEFFREY ALLEN MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
PSC BOX 20130, 2D DENBN/NDC, CAMP LEJEUNE, NC 28542
(910) 451-2208
(910) 451-8036
Mailing address
PSC BOX 20130, 2D DENBN/NDC, CAMP LEJEUNE, NC 28542
(910) 451-2208
(910) 451-8036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12258
MN
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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