| NPI | 1972183408 |
|---|---|
| Former Legal Business Name | MELISSA MOECKEL DMD INC |
| Entity Type | Organization |
| Authorized Contact | BRANDON A LADEAU Dentist/ Owner 508-485-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-12 |