Individual
JOHN W MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2812 17TH AVE S STE F, GRAND FORKS, ND 58201-4048
(701) 746-1400
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1803
ND
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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