Individual
DR. KENT E MOSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3671
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6J770
BLUE CROSS OF IDAHO
ID
Enumeration date
09/15/2006
Last updated
12/06/2011
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