Organization
MIDWEST DENTAL JEFF MOOS DDS PC
Active
Other names
Midwest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W MOOS DDS (OWNER)
(715) 926-5050
Entity
Organization
Contact information
Practice address
300 WALMART DR, SULLIVAN, MO 63080-3333
(573) 860-2552
(573) 860-2553
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
(715) 926-4269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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