| Mooso Orthodontics | |
|
1580 Elk Creek Drive Idaho Falls ID 83404-6269 | |
| (208) 522-4552 | |
| Not Available |
| Full Name | Mooso Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1580 Elk Creek Drive, Idaho Falls, Idaho |
| Authorized Official Name and Position | Bret E. Mooso (DOCTOR) |
| Authorized Official Contact | 2085224552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mooso Orthodontics 1580 Elk Creek Drive Idaho Falls ID 83404-6269 Ph: (208) 522-4552 | Mooso Orthodontics 1580 Elk Creek Drive Idaho Falls ID 83404-6269 Ph: (208) 522-4552 |
| NPI Number | 1598053712 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598053712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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