Individual
DR. JEFFREY WILLIAM MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
Mailing address
1471 VALLEY ESTATES RD, MONDOVI, WI 54755-7899
(715) 926-5323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11386
MN
1223G0001X
General Practice Dentistry
19026583
IL
1223G0001X
General Practice Dentistry
Primary
3139
WI
1223G0001X
General Practice Dentistry
8444
IA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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