Individual
KEVIN MOSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 E RENFRO ST STE 109, BURLESON, TX 76028-3958
(817) 717-9086
Mailing address
1060 COTTON DEPOT LN APT 643, FT WORTH, TX 76102-7801
(281) 658-9327
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35052
TX
Other
Enumeration date
11/26/2014
Last updated
12/28/2024
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