KEVIN CARROLL MOSS

LACEY, WA
NPI1043332844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  0700009204)
Additional Taxonomies1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA  0700009204)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
-- KEVIN CARROLL MOSS DMD MS PLLC
5320 CORPORATE CENTER LOOP SE SUITE A
LACEY, WA 98503
Phone number: 360-491-7080
Mailing Address
-- KEVIN CARROLL MOSS DMD MS PLLC
5320 CORPORATE CENTER LOOP SE SUITE A
LACEY, WA 98503
Phone number: 360-491-7080
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