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1912290446
TIMOTHY MOSHER
LOGAN, UT
NPI
1912290446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: UT 8678914)
Enumeration Date
2011-05-17
Last Update Date
2014-03-21
Business Address
Dr. TIMOTHY MOSHER DMD
150 E 200 N STE H
LOGAN, UT 84321-4036
Phone number: 435-753-9470
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Mailing Address
Dr. TIMOTHY MOSHER DMD
150 E 200 N STE H
LOGAN, UT 84321-4036
Phone number: 435-753-9470
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