Individual
DR. KETRON V. MOSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
620 MAIN ST, YOUNG HARRIS, GA 30582-4118
(706) 379-6677
(706) 379-1968
Mailing address
620 MAIN ST, YOUNG HARRIS, GA 30582-4118
(706) 379-6677
(706) 379-1968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010857
GA
Other
Enumeration date
12/07/2005
Last updated
07/08/2007
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