| NPI | 1033363197 |
|---|---|
| Other Name | MOFFETT ORAL SURGERY AND DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY VICTOR MOFFETT President 813-677-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL dn15450) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |