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Individual

DR. PETER K MOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD.

Contact information

Practice address
11980 SAN VICENTE BLVD, SUITE 503 AND 505, LOS ANGELES, CA 90049-5012
(310) 820-6691
(310) 820-6041
Mailing address
11980 SAN VICENTE BLVD, SUITE 503 AND 505, LOS ANGELES, CA 90049-5012
(310) 820-6691
(310) 820-6041

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28770
CA

Other

Enumeration date
01/31/2007
Last updated
07/08/2007
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