Individual
DR. KATIE EVANS MOFFIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
1460 PETERMAN DR, ALEXANDRIA, LA 71301
(318) 473-4545
Mailing address
3321 OLGA ST, ALEXANDRIA, LA 71301-4018
(318) 473-4545
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6541
LA
Other
Enumeration date
07/24/2013
Last updated
06/27/2018
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