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Organization
MEGAN MOSHEA D.D.S. LLC
Active
Organization
MEGAN MOSHEA D.D.S. LLC
Active
Other names
Mandarin Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN MOSHEA DDS (MANAGER)
(904) 268-5600
Entity
Organization
Contact information
Practice address
11518 SAN JOSE BLVD, JACKSONVILLE, FL 32223-7237
(904) 268-5600
Mailing address
11518 SAN JOSE BLVD, JACKSONVILLE, FL 32223-7237
(904) 268-5600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336555754
NPI
FL
Enumeration date
07/22/2022
Last updated
07/22/2022
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