Individual
DR. CATHY MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, FAGD
Contact information
Practice address
310 HAMPTON PARK, CAMDEN, SC 29020-3605
(803) 432-2155
(803) 432-7744
Mailing address
PO BOX 1647, CAMDEN, SC 29021-8647
(803) 432-2155
(803) 432-7744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC1815
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z18151
—
SC
Enumeration date
05/23/2007
Last updated
07/08/2007
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