Provider Demographics
NPI:1427301761
Name:MOSES, HORACE EUGENE (DDS)
Entity type:Individual
Prefix:MR
First Name:HORACE
Middle Name:EUGENE
Last Name:MOSES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:E
Other - Last Name:MOSES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1741 W. ROMNEYA DR.
Mailing Address - Street 2:STE E
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1741 W. ROMNEYA DR.
Practice Address - Street 2:STE E
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801
Practice Address - Country:US
Practice Address - Phone:714-728-1460
Practice Address - Fax:714-728-2672
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18380122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist