Organization
MOUNTAIN DENTAL OF NEW MEXICO PC
Active
Other names
Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W MOOS DDS (OWNER)
(715) 926-5050
Entity
Organization
Contact information
Practice address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
(715) 926-5405
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
(715) 926-5405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3263
NM
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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