Individual
TERRENCE K MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
784 CEDAR ST, RICHLAND CENTER, WI 53581-1502
(608) 647-3222
(608) 647-7120
Mailing address
784 CEDAR ST, RICHLAND CENTER, WI 53581-1502
(608) 647-3222
(608) 647-7120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4087
WI
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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