Organization
TINA P. MOSES, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA PERRY MOSES DMD (PRESIDENT)
(706) 863-6262
Entity
Organization
Contact information
Practice address
1240 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1854
(706) 863-6262
(706) 863-6465
Mailing address
1240 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1854
(706) 863-6262
(706) 863-6465
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012036
GA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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