Individual
JOSEPH KEVIN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1105 4TH AVE E, SUITE A, OLYMPIA, WA 98506-4018
(360) 357-8075
(360) 357-3842
Mailing address
1105 4TH AVE E, SUITE A, OLYMPIA, WA 98506-4018
(360) 357-8075
(360) 357-3842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60106577
WA
Other
Enumeration date
08/24/2009
Last updated
10/06/2020
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