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DR. PHILIP D MOSES DDS

Dental Providers Dentist Pediatric Dentistry

Provider NPI: 1033109186

Provider Information:
DR. PHILIP D MOSES DDS
Gender: M
Sole Proprietor

Practice Location:
631 W COLLEGE ST  LAKE CHARLES, LA 70605-1521 US
Tel: 337-474-9057  Fax: 337-474-9444

Business Mailing Address:
631 W COLLEGE ST  LAKE CHARLES, LA 70605-1521 US
Tel: 337-474-2563  Fax: 337-474-9444

NPI Information:
NPI: 1033109186
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
LA3442

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 1223P0221X

Type:

Classification:



Definition:



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