Individual
DR. JACK CAMERON MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7970 SHERIDAN BLVD, 3RD FLOOR, ARVADA, CO 80003-6200
(303) 427-0730
(303) 427-0754
Mailing address
7970 SHERIDAN BLVD, 3RD FLOOR, ARVADA, CO 80003-6200
(303) 427-0730
(303) 427-0754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5484
CO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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