Moses, Jackson
Moses, Jackson is an sole proprietor health care provider with primary practice located at 27800 Medical Center Rd Suite 238, Mission Viejo CA 92691-6410. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Moses, Jackson can be contacted via phone (949) 364-0220.Contact Information
Primary practice address
27800 Medical Center Rd Suite 238
Mission Viejo CA 92691-6410
Phone: (949) 364-0220
Fax: (949) 582-0563
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 21174 | California |
Profile Details
NPI number | 1427162932 |
---|---|
LBN Legal business name | Moses, Jackson |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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