Individual
DR. JOSIAH MOUTRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 N MAPLE ST, ELDON, MO 65026-1776
(573) 392-5213
Mailing address
1917 BUNKER HILL RD, JEFFERSON CITY, MO 65109-5606
(816) 383-4771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023025774
MO
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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