Moffitt Dental Center

NPI #1205093903 in Eagle Grove, Iowa

Provider Information

NPI Number
1205093903
Entity Type
Organization
Organization Name
Moffitt Dental Center
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 20, 2008
Last Updated
May 20, 2008

Practice Location

Address
422 W BROADWAY ST
State
Iowa
ZIP Code
50533-1704
Phone
(515) 448-4852

Authorized Official

Name
DR. MICHAEL WALTER MOFFITT, DDS
Title
OWNER/DOCTOR
Phone
(515) 448-4852

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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