Mark Steven Moeller DDS

NPI 1083895510 - Dentist - 1223P0221X

NPI Details
NPI 1083895510
Gender Male
Enumeration Date 11/27/2007
Last Updated 07/10/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
501 12TH AVE
202
CORALVILLE IA, 52241-1774, US
Phone (319) 351-5439
Fax
Business Location
501 12TH AVE
202
CORALVILLE IA, 52241-1774, US
Phone (319) 351-5439
Fax (651) 779-9802
Toxanomy
Taxonomy Code 1223P0221X
License State Minnesota
License Number S25
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According to our database, Dr. Mark Steven Moeller DDS NPI is 1083895510, taxonomy code is 1223P0221X and license number is S25, license state is located at Minnesota. Mark Steven Moeller DDS physically located at 501 12th Ave, Coralville IA, 52241-1774. NPI Number Mark Steven Moeller DDS has the Individual type.

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1083895510 NPI number is provided on an as is basis without warranty of any kind. 1083895510 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Steven Moeller DDS are for informational purposes only.