Individual
DR. MATTHEW CHARLES MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3965 N MERIDIAN ST, STE 1D, INDIANAPOLIS, IN 46208-4044
(317) 679-0343
Mailing address
7854 CLEARWATER COVE DR, INDIANAPOLIS, IN 46240-4900
(317) 679-0343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008713
IN
Other
Enumeration date
06/10/2005
Last updated
07/08/2007
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