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Individual

DAVID J MOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS,MD

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12684
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3074500099
ME
Enumeration date
10/24/2005
Last updated
07/08/2007
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