Individual
DR. HEIDI LEE MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
NATIONAL NAVAL MEDICAL CTR, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-5600
(301) 319-4794
(301) 295-5928
Mailing address
3849 WATKINS MILL DR, ALEXANDRIA, VA 22304-6448
(703) 960-6055
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS024564L
PA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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