Individual
DR. JACKSON MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27800 MEDICAL CENTER RD, SUITE 238, MISSION VIEJO, CA 92691-6410
(949) 364-0220
(949) 582-0563
Mailing address
27800 MEDICAL CENTER RD, SUITE 238, MISSION VIEJO, CA 92691-6410
(949) 364-0220
(949) 582-0563
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21174
CA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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