Individual
SHANTE' L MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
2118 BELHAVEN LN SE, ATLANTA, GA 30315-6802
(404) 698-6629
Mailing address
2118 BELHAVEN LN SE, ATLANTA, GA 30315-6802
(404) 698-6629
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH012610
GA
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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