Individual
JENNIFER J MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2149 GREY WOLF CT, SUAMICO, WI 54313-3268
(951) 237-0770
Mailing address
2149 GREY WOLF CT, SUAMICO, WI 54313-3268
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7198-15
WI
Other
Enumeration date
01/04/2007
Last updated
01/17/2017
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