| NPI | 1225144298 |
|---|---|
| Other Name | MOSS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JANE KRAKOWSKY Business Manager 540-899-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |