Individual
DR. DONNA THOMAS MOSES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD, PC
Contact information
Practice address
530 NEWNAN ST, CARROLLTON, GA 30117-3344
(770) 832-0089
Mailing address
530 NEWNAN ST, CARROLLTON, GA 30117-3344
(770) 832-0089
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN011025
GA
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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