Individual
DR. MATHEW A MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Contact information
Practice address
1817 17TH ST, CODY, WY 82414-4701
(307) 587-9009
(307) 587-9444
Mailing address
1817 17TH ST, CODY, WY 82414-4701
(307) 587-9009
(307) 587-9444
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1133
WY
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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