Individual
MRS. KRISTEN ASHRAF MASOUDIPOYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9109 BAYMEADOWS RD STE 1, JACKSONVILLE, FL 32256-1842
(904) 731-4343
(904) 733-0816
Mailing address
221 6TH AVE S APT H, JACKSONVILLE BEACH, FL 32250-6664
(904) 614-0651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 21266
FL
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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