Individual
DR. CHARLES RAY MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1245 CAPITOL ST, SUITE #122-N, OGDEN, UT 84401-2847
(801) 394-4549
(801) 394-0058
Mailing address
1245 CAPITOL ST, SUITE #122-N, OGDEN, UT 84401-2847
(801) 394-4549
(801) 394-0058
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
84142037
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
623246
UNITED CONCORDIA
PA
01
—
870428888
PUBLIC EMPLOYEES DENTAL
UT
Enumeration date
08/05/2006
Last updated
11/12/2024
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