Individual
JAZMIN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 MS-12, STARKVILLE, MS 39759
(662) 270-4054
Mailing address
7 CALLE CAREYES, SAN CLEMENTE, CA 92673-6997
(714) 943-7718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
111323
CA
122300000X
Dentist
Primary
111369
MS
Other
Enumeration date
04/19/2024
Last updated
08/05/2025
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