Individual
AMEYALLI MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10189 CITRUS AVE STE 500, FONTANA, CA 92335-6449
(909) 657-2736
Mailing address
3885 HIDDEN TRAIL DR, JAMUL, CA 91935-2113
(619) 201-0070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
113138
CA
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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