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Organization
REUBEN MOYANA DMD, PC
Active
Organization
REUBEN MOYANA DMD, PC
Active
Other names
Fort Mitchell Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUBEN TAFADZWA MOYANA D.M.D (PRESIDENT)
(334) 855-3300
Entity
Organization
Contact information
Practice address
1095 HIGHWAY 165, SUITE D, FORT MITCHELL, AL 36856
(334) 855-3300
Mailing address
129 LEE ROAD 2200, SMITHS STATION, AL 36877-3388
(334) 855-3300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5344
AL
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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