Individual ProviderBoyd Blois MossDentistDental ProvidersPractice Address3200 Soaring Gulls Dr, Suite 106, Las Vegas, NV 89129-2198(702) 647-4438PECOS EnrollmentBased on the most recent information from CMS, provider Boyd Blois Moss does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1154544419Provider TypeIndividualFull NameMoss, Boyd BloisCredentialDMDGenderMaleSole ProprietorNoEnumeration Date4/11/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3200 Soaring Gulls Dr, Suite 106, Las Vegas, NV 89129-2198Phone(702) 647-4438Fax(702) 656-6488Mailing LocationMailing Address3200 Soaring Gulls Dr, Suite 106, Las Vegas, NV 89129-2198Phone(702) 647-4438Fax(702) 656-6488Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense786Nevada