Individual
JOSE MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRDH
Contact information
Practice address
2803 JAMES L REDMAN PKWY STE 1, PLANT CITY, FL 33566-9413
(813) 567-7151
Mailing address
2119 DELIGHTFUL DR, RUSKIN, FL 33570-5825
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH26624
FL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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