Individual
DR. ALLEN JACK MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
233 S WACKER DR, CHICAGO, IL 60606-6306
(312) 993-0430
(312) 993-9140
Mailing address
233 S WACKER DR, CHICAGO, IL 60606-6306
(312) 993-0430
(312) 993-9140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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