Organization
JEFFREY V MOFFETT D.M.D P.A
Active
Other names
moffett oral surgery and dental implant center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY VICTOR MOFFETT D.M.D (PRESIDENT)
(813) 677-3331
Entity
Organization
Contact information
Practice address
13136 VAIL RIDGE DR, RIVERVIEW, FL 33579-7187
(813) 677-3331
(813) 677-3336
Mailing address
13136 VAIL RIDGE DR, RIVERVIEW, FL 33579-7187
(813) 677-3331
(813) 677-3336
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN15450
FL
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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