Individual
DR. LITTLE BOSS MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
841. S. HWY 25W SUITE 9, WILLIAMSBURG, KY 40769
(606) 549-4150
(606) 549-1067
Mailing address
841 S. HWY 25W SUITE 9, WILLIAMSBURG, KY 40769
(606) 549-4150
(606) 549-1067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5185
KY
1223G0001X
General Practice Dentistry
KY5185
KY
Other
Enumeration date
09/09/2008
Last updated
02/04/2014
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