Individual
WILSON MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
113 E MARKET ST, GREENWOOD, MS 38930-4429
(662) 453-1708
Mailing address
113 E MARKET ST, GREENWOOD, MS 38930-4429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4203-21
MS
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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