| NPI | 1598053712 |
|---|---|
| Other Name | MOOSO ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRET E. MOOSO Doctor 208-522-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |