| Moses Orthodontics | |
|
16500 Se 15 St Ste 150 Vancouver WA 98683 | |
| (360) 514-0055 | |
| (360) 514-0095 |
| Full Name | Moses Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 16500 Se 15 St, Vancouver, Washington |
| Authorized Official Name and Position | Jesse Ryan Moses (PRESIDENT) |
| Authorized Official Contact | 3605140055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moses Orthodontics 16500 Se 15 St Ste 150 Vancouver WA 98683 Ph: (360) 514-0055 | Moses Orthodontics 16500 Se 15 St Ste 150 Vancouver WA 98683 Ph: (360) 514-0055 |
| NPI Number | 1902979669 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902979669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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