Individual
DR. MICHAEL W MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
422 W BROADWAY ST, EAGLE GROVE, IA 50533-1704
(515) 448-4852
(515) 448-3533
Mailing address
422 W BROADWAY ST, EAGLE GROVE, IA 50533-1704
(515) 448-4852
(515) 448-3533
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
6102
IA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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