Individual
DR. DIETER JESUS MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7500 SAN FELIPE ST, SUITE 300, HOUSTON, TX 77063-1707
(713) 457-6337
Mailing address
7500 SAN FELIPE ST, SUITE 300, HOUSTON, TX 77063-1707
(713) 457-6337
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19580
TX
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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