NPI | 1407255326 |
---|---|
Professional Name | J. RYAN MOSES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA DE00009242) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2014-08-15 |