Organization
MOSES FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY LEE MOSES DDS (OWNER)
(913) 602-0519
Entity
Organization
Contact information
Practice address
1776 N AIRLINE HWY STE B, GONZALES, LA 70737-2127
(225) 369-0481
(225) 369-0482
Mailing address
1535 RIVER PARKWAY BLVD APT 1002, SHREVEPORT, LA 71104-1812
(913) 602-0519
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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