NPI 1033235379

Veldon Ross Moser, DDS

Practitioner General Practice Dentistry Jackson, WY

Practice location

Address: 1115 Maple Way, Jackson, WY 83001
Phone: (307) 733-7044
Fax: (307) 734-1409
Mailing address: PO Box 9248, Jackson, WY 83002-9248

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2200 (MT)

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Registry record

NPI: 1033235379
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2007
Record last updated: 14 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.