Ileana Moya INC

NPI #1881142164 in Clewiston, Florida

Provider Information

NPI Number: 1881142164
Entity Type: Organization
Organization Name: Ileana Moya INC
Primary Specialty: Dentist
Enumeration Date: Sep 15, 2016
Last Updated: Sep 15, 2016

Practice Location

Address: 872 W SUGARLAND HWY
Address 2: SUITE 1A
City: Clewiston
State: Florida
ZIP Code: 33440-2704
Phone: (863) 983-5600

Authorized Official

Name: DR. ILEANA MOYA, D.M.D
Title: PRESIDENT
Phone: (863) 983-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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