Individual
DR. KEVIN THOMAS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6800 MAIN ST, 315, DOWNERS GROVE, IL 60516-3493
(630) 969-5350
Mailing address
6800 MAIN ST, 315, DOWNERS GROVE, IL 60516-3493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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