| NPI | 1962650465 |
|---|---|
| Other Name | L B MOSES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 5185) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY KY5185) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2014-02-04 |