Randolph Robert Moeller DDS

NPI 1053390443 - Dentist - 1223G0001X

NPI Details
NPI 1053390443
Gender Male
Enumeration Date 01/13/2006
Last Updated 10/18/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2700 BAKER ST
MUSKEGON HEIGHTS MI, 49444-2157, US
Phone (231) 737-8603
Fax (231) 737-9012
Business Location
2700 BAKER ST
MUSKEGON HEIGHTS MI, 49444-2157, US
Phone (231) 737-8603
Fax (231) 737-9012
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901012600
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According to our database, Dr. Randolph Robert Moeller DDS NPI is 1053390443, taxonomy code is 1223G0001X and license number is 2901012600, license state is located at Michigan. Randolph Robert Moeller DDS physically located at 2700 Baker St, Muskegon Heights MI, 49444-2157. NPI Number Randolph Robert Moeller DDS has the Individual type.

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1053390443 NPI number is provided on an as is basis without warranty of any kind. 1053390443 is maintained by the National Plan & Provider Enumeration System. The contents of Randolph Robert Moeller DDS are for informational purposes only.