Moss, Gary Wallace
Moss, Gary Wallace is an sole proprietor health care provider with primary practice located at 1680 Westwood Dr Ste D , San Jose CA 95125-5105. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Moss, Gary Wallace can be contacted via phone (408) 266-4444.Contact Information
Primary practice address
1680 Westwood Dr Ste D
San Jose CA 95125-5105
Phone: (408) 266-4444
Fax: (408) 266-4457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 23219 | California |
Profile Details
| NPI number | 1265681365 |
|---|---|
| LBN Legal business name | Moss, Gary Wallace |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2008 |
| Last updated | Sep 12th, 2008 - about 16 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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