Organization
LITTLE GRINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER J MOSELEY D.D.S. , M.S.D (DENTIST/OWNER)
(928) 317-9494
Entity
Organization
Contact information
Practice address
2179 W 24TH ST STE B, YUMA, AZ 85364-6163
(928) 317-9494
(928) 782-2212
Mailing address
2179 W 24TH ST STE B, YUMA, AZ 85364-6163
(928) 317-9494
(928) 782-2212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5958
AZ
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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