Organization
MERIT DENTAL OF MASSACHUSETTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MOOS DDS (PC OWNER)
(715) 926-5050
Entity
Organization
Contact information
Practice address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
(715) 318-3449
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
(715) 318-3449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856841
MA
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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