Organization
PATRICK P MOSELEY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK P MOSELEY JR. DDS (PRESIDENT)
(870) 352-5161
Entity
Organization
Contact information
Practice address
305 N SPRING ST, BOX 640, FORDYCE, AR 71742-3317
(870) 352-5161
(870) 352-7510
Mailing address
PO BOX 640, 305 NORTH SPRING STREET, FORDYCE, AR 71742-0640
(870) 352-5161
(870) 352-7510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2914
AR
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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