Individual
DR. JESSE RYAN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16600 SE 15TH STREET, SUITE A, VANCOUVER, WA 98683
(360) 514-0055
(360) 514-0095
Mailing address
16600 SE 15TH STREET, SUITE A, VANCOUVER, WA 98683
(360) 514-0055
(360) 514-0095
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00009242
WA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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