Individual
FLORENCE E MOOS
Active
Individual
FLORENCE E MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13002162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13002162A
INDIANA LICENSE
IN
Enumeration date
02/20/2020
Last updated
02/20/2020
Update your record
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