Organization
AFDIC MOFFETT P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF 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
Mailing address
13136 VAIL RIDGE DR, RIVERVIEW, FL 33579-7187
(813) 677-3331
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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