Organization
DAREL MOSS D.D.S. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAREL MOSS D.D.S. (OWNER)
(617) 566-5363
Entity
Organization
Contact information
Practice address
1682 BEACON ST, BROOKLINE, MA 02445-2120
(617) 566-5363
(617) 731-0023
Mailing address
1682 BEACON ST, BROOKLINE, MA 02445-2120
(617) 566-5363
(617) 731-0023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13492
MA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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