| NPI | 1790970663 |
|---|---|
| Professional Name | MAURICIO SERGIO MOELLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MI 2901018235) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901018235) |
| 1223G0001X Dentist, General Practice (Licence: MI 2901018235) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2016-12-01 |