Individual
DR. JOHN HAROLD MOFFATT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5809 CITRUS BLVD, SUITE 100, HARAHAN, LA 70123-1690
(504) 733-8551
Mailing address
5809 CITRUS BLVD. SUITE 100, HARAHAN, LA 70123
(504) 733-8551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4091
LA
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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