Organization
REUBEN MOYANA DMD, PC
Active
Other names
Fort Mitchell Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUBEN TAFADZWA MOYANA D.M.D (PRESIDENT)
(334) 855-3300
Entity
Organization
Contact information
Practice address
1095 HIGHWAY 165, SUITE D, FORT MITCHELL, AL 36856
(334) 855-3300
Mailing address
129 LEE ROAD 2200, SMITHS STATION, AL 36877-3388
(334) 855-3300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5344
AL
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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