Jared Moberg, D.D.S.

NPI #1487055950 in Jacksonville, California

Provider Information

NPI Number: 1487055950
Entity Type: Individual
Name: Jared Moberg, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 15, 2014
Last Updated: Sep 15, 2014

Practice Location

Address: 2005 KNIGHT LANE BUILDING H
Address 2: NAVY MEDICINE SUPPORT COMMAND ATTENTION MEDICAL STAFF
City: Jacksonville
State: California
ZIP Code: 32212-0140
Phone: (760) 725-3213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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