| Moss Orthodontics, Pc | |
|
613 Yellowstone Ave Ste B Cody WY 82414-9366 | |
| (307) 587-9009 | |
| Not Available |
| Full Name | Moss Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 613 Yellowstone Ave Ste B, Cody, Wyoming |
| Authorized Official Name and Position | Mathew Moss (OWNER) |
| Authorized Official Contact | 3075879009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moss Orthodontics, Pc 613 Yellowstone Ave Ste B Cody WY 82414-9366 Ph: (307) 587-9009 | Moss Orthodontics, Pc 613 Yellowstone Ave Ste B Cody WY 82414-9366 Ph: (307) 587-9009 |
| NPI Number | 1104308030 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104308030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1133 (Wyoming) | Primary |
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