Organization
ALLEN J MOSES DDS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN JACK MOSES D.D.S. (PROVIDER)
(312) 993-0430
Entity
Organization
Contact information
Practice address
233 S WACKER DR, CHICAGO, IL 60606-6423
(312) 993-0430
(312) 993-9140
Mailing address
233 S WACKER DR, CHICAGO, IL 60606-7147
(312) 993-0430
(312) 993-9140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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