Individual
EDWARD MOITOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3015 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL 34288-8972
(941) 429-6558
(941) 429-6559
Mailing address
3015 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL 34288-8972
(941) 429-6558
(941) 429-6559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16788
FL
Other
Enumeration date
02/19/2006
Last updated
10/10/2019
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