Individual
DR. TERRY JOSEPH MOLL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 N 15TH ST, CANON CITY, CO 81212-4620
(719) 275-8950
Mailing address
1201 N 15TH ST, CANON CITY, CO 81212-4620
(719) 275-8950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104110
CO
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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