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Individual

DR. NICHOLAS A MOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6118 COVINGTON HWY, SUITE E, LITHONIA, GA 30058-3530
(770) 593-8249
Mailing address
6118 COVINGTON HWY, SUITE E, LITHONIA, GA 30058-3530
(770) 593-8249

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009955
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00348884M
GA
Enumeration date
10/10/2006
Last updated
07/08/2007
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