| NPI | 1568700540 |
|---|---|
| Other Name | MAURICIO MOELLER, DDS, MS |
| Entity Type | Organization |
| Authorized Contact | MAURICIO SERGIO MOELLER Owner 734-222-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018235) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-03-03 |