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1467501197
SAMUEL R, MOSS
LAFAYETTE, LA
NPI
1467501197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 3574)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. SAMUEL R, MOSS DDS
217 E KALISTE SALOOM RD SUITE 100
LAFAYETTE, LA 70508-8513
Phone number: 337-232-9937
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Mailing Address
Dr. SAMUEL R, MOSS DDS
217 E KALISTE SALOOM RD SUITE 100
LAFAYETTE, LA 70508-8513
Phone number: 337-232-9937
Copy
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