Individual
DR. RONALD ALBERT MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
451 RUIN CREEK ROAD, SUITE 105, HENDERSON, NC 27536
(252) 492-3355
(252) 492-9938
Mailing address
451 RUIN CREEK ROAD, SUITE 105, HENDERSON, NC 27536
(252) 492-3355
(252) 492-9938
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710904669
ORGANIZATION NPI
—
05
—
8996265
—
NC
Enumeration date
03/19/2007
Last updated
07/08/2007
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