GREGORY MOOS

RED LODGE, MT
NPI1285085795
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MT  11522)
Additional Taxonomies122300000X Dentist
(Licence: WI  1001314-15)
Enumeration Date2016-06-27
Last Update Date2016-07-01
Business Address
-- GREGORY MOOS DDS
515 BROADWAY AVE. NORTH
RED LODGE, MT 59068
Phone number: 715-495-5131
Mailing Address
-- GREGORY MOOS DDS
PO BOX 663
RED LODGE, MT 59068-0663
Phone number:
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