Individual
DAVID MOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMD
Contact information
Practice address
85 BROOKWOOD AVE, SUITE 22, SANTA ROSA, CA 95404-4513
(707) 573-1680
Mailing address
85 BROOKWOOD AVE, SUITE 22, SANTA ROSA, CA 95404-4513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
42162
CA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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