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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA DIANE MOSS, RDH

Active Sole Proprietor

LISA DIANE MOSS, RDH is a Dental Hygienist healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1497105688 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · FORT LEONARD WOOD, MO

Registration Details

NPI Number
1497105688
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2016 (10.014986249641 yrs)
Last Updated
Jun 17, 2016
License
2006015980 (MO)
Sole Proprietor
Yes

Practice Information

Address
5047 VIRGINIA AVE
BLDG 500
FORT LEONARD WOOD, MO, 654739126
Browse MO providers · Browse ZIP 65473
Phone
5735960408
Fax
5735960314
Primary Specialty
Dental Hygienist
124Q00000X

Other Dental Hygienist Providers in FORT LEONARD WOOD, MO

Name Credential NPI
MRS. JOOHEE LEE RDH 1790935435
APRIL BLISS 1922451277
JOY LEE CREASON 1417447467
MRS. TRACI ANNE SHAMBO RDH 1982198453
SEONG JIN PARK 1629682943
JORGE AORI MARTELL 1346855137
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.