Individual
DR. DAVID MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9095 N HESS ST, SUITE 201, HAYDEN, ID 83835-9827
(208) 772-4500
(208) 772-4551
Mailing address
9095 N HESS ST, STE 201, HAYDEN, ID 83835-9827
(208) 772-4500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3976
ID
Other
Enumeration date
11/20/2006
Last updated
02/17/2016
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