| Jackson Moses, Dds, Inc | |
|
27800 Medical Center Rd 238 Mission Viejo CA 92691-6410 | |
| (949) 364-0220 | |
| Not Available |
| Full Name | Jackson Moses, Dds, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 27800 Medical Center Rd, Mission Viejo, California |
| Authorized Official Name and Position | Jackson Moses (PRESIDENT) |
| Authorized Official Contact | 9493640220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Moses, Dds, Inc 27800 Medical Center Road 238 Mission Viejo CA 92691-6473 Ph: () - | Jackson Moses, Dds, Inc 27800 Medical Center Rd 238 Mission Viejo CA 92691-6410 Ph: (949) 364-0220 |
| NPI Number | 1043377856 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043377856 | NPI | - | NPPES |
| 1427162932 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 21174 (California) | Primary |
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