Individual
JACOB R MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 BRIDGE ST STE 6, PELHAM, NH 03076-3400
(603) 635-2151
Mailing address
43 BRIDGE ST STE 6, PELHAM, NH 03076-3400
(603) 635-2151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
05264
NH
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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