Individual
DR. RANDALL DAVID MOSENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3143 STATE ROAD, LACROSSE, WI 54601
(608) 788-0030
(608) 788-7881
Mailing address
519 MCHUGH RD, HOLMEN, WI 54636-9256
(608) 526-9300
(608) 526-9310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5048
WI
Other
Enumeration date
02/12/2007
Last updated
05/12/2021
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