Individual
DANIEL MOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4447 N OAKLAND AVE, MILWAUKEE, WI 53211-1611
(414) 964-2223
Mailing address
7119 N CROSSWAY RD, MILWAUKEE, WI 53217-3849
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4403
WI
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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