Individual
DARIN R MOOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4105 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 455-9498
(208) 455-8535
Mailing address
4105 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 455-9498
(208) 455-8535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-3237
ID
Other
Enumeration date
09/20/2006
Last updated
07/09/2007
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