Individual
DR. JEFFREY VICTOR MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
275 BAYSHORE BLVD, 805, TAMPA, FL 33606-2328
(305) 725-2315
Mailing address
275 BAYSHORE BLVD, 805, TAMPA, FL 33606-2328
(305) 725-2315
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN15450
FL
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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