Organization
MEGAN MOSHEA D.D.S. LLC
Active
Other names
Mandarin Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN MOSHEA DDS (MANAGER)
(904) 268-5600
Entity
Organization
Contact information
Practice address
11518 SAN JOSE BLVD, JACKSONVILLE, FL 32223-7237
(904) 268-5600
Mailing address
11518 SAN JOSE BLVD, JACKSONVILLE, FL 32223-7237
(904) 268-5600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336555754
NPI
FL
Enumeration date
07/22/2022
Last updated
07/22/2022
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