Individual
LYNNE MARIE MOSELEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
30021 GREENFIELD RD, SOUTHFIELD, MI 48076-1509
(248) 594-8777
(248) 594-9779
Mailing address
32364 ARLINGTON DR, BEVERLY HILLS, MI 48025-4218
(248) 593-2995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014118
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4752030
—
MI
01
—
D141180
BLUE CROSS
MI
Enumeration date
05/10/2006
Last updated
07/09/2007
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