DR. Gary Anthony Moeller, D.D.S.

NPI #1952685570 in Shalimar, Florida

Provider Information

NPI Number: 1952685570
Entity Type: Individual
Name: DR. Gary Anthony Moeller, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 30, 2011
Last Updated: Jun 19, 2015

Practice Location

Address: 1 ELEVENTH AVE
Address 2: SUITE D-3
City: Shalimar
State: Florida
ZIP Code: 32579
Phone: (850) 651-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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