BRETT EDDIS MOOSO

IDAHO FALLS, ID
NPI1902902208
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID  D-3029-OR)
Enumeration Date2006-09-15
Last Update Date2007-07-09
Business Address
Dr. BRETT EDDIS MOOSO D.D.S.,M.S.,P.A.
1410 E 17TH ST
IDAHO FALLS, ID 83404-6269
Phone number: 208-522-4552
Mailing Address
Dr. BRETT EDDIS MOOSO D.D.S.,M.S.,P.A.
1410 E 17TH ST
IDAHO FALLS, ID 83404-6269
Phone number: 208-522-4552
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