Individual
ROMAN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3000 CONNECTICUT AVE NW STE 8, WASHINGTON, DC 20008-2542
(615) 600-1610
Mailing address
1401 MADISON ST NW, WASHINGTON, DC 20011-6805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN1002019
DC
1223G0001X
General Practice Dentistry
Primary
DEN1002019
DC
Other
Enumeration date
03/22/2019
Last updated
11/12/2020
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