Individual
DR. KRISTINE M MOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12010577
IN
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
12010577
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358075
ANTHEM BCBS
IN
05
—
200490890
—
IN
01
—
P00267322
RAILROAD MEDICARE
IN
01
—
P00816224
RAILROAD MEDICARE
IN
Enumeration date
06/06/2006
Last updated
12/18/2020
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