Individual
ROBERT BURGESS MOSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1600 W 3RD AVE, ALBANY, GA 31707-3461
(229) 432-2103
(229) 432-2114
Mailing address
1600 W 3RD AVE, ALBANY, GA 31707-3461
(229) 432-2103
(229) 432-2114
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9184
GA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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