Individual
JEANNIE HARRIS MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
77 8TH ST S, STE A, NAPLES, FL 34102-6109
(239) 261-1401
(239) 261-1854
Mailing address
77 8TH ST S, STE A, NAPLES, FL 34102-6109
(239) 261-1401
(239) 261-1854
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7470
FL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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