Organization
AFFORDABLE CROWNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L MOSS DDS (DENTIST)
(619) 647-4459
Entity
Organization
Contact information
Practice address
925 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-3432
(619) 647-4459
(619) 773-6562
Mailing address
925 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-3432
(619) 647-4459
(619) 773-6562
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275707747
—
CA
Enumeration date
07/09/2021
Last updated
07/09/2021
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